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CONTRACTOR P-1 S O �/ C O rJ 5 c C1 L 1 <br /> TYPE OF PERMIT(S): DWELLING/BUILDING _ GARAGEIACCESSORY STRUCTURE ADDITION v_ <br /> SANITARY PRIVY FILUNG/GRADING CAMPING UNIT SUBDIVISION c l� <br /> STRUCTURE/ADDITION USE: f�Q <br /> (Home/Cabin;Commercial Business;Bedroom;Deck;ate.) u 3 <br /> 8 ^v <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (Aerial or top view) , <br /> 1. Show the location and size of all existing buildings(EB)and all new buildings (NB) and Indicate North (I). <br /> 2 Show the location of the well(W),septic tank(ST),and dralnfleld(DF). <br /> & Show dimensions In feet of the following:(a)building to all lot lines,(b)building to center line of road,(c)building <br /> measurement to the ordinary high water mark of lake,stream,or river. 0 <br /> 4. It separate plans are submitted by an archhec%engineer,builder,contractor,eta,the plans must be signed and <br /> dated by the owner. 09 <br /> NOTE: ATED RE LOCATIONS MUST BE STAFOR ONSITE VERIFICATION BEFORE A PERMIT CAN BE ISSUED. w o <br /> PLOT PLAN n o S <br /> Loud tloTS <br /> 20-0� <br /> Ste Pt N <br /> , <br /> t e7 ± , <br /> &A <br /> ,( A N <br /> II o <br /> �l�`� YS �• Q � <br /> s ti <br /> kt. UItx <br /> y <br /> It w <br /> N <br /> CONDrTIOINOF PERMIT: e � <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN ell DAYS OF PERMIT ISS CE. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. ` 33 <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. 'ISI �'E ' ` m <br /> o C <br /> r <br /> 1 declare that this application(including any accompanying schedule)has been examined by me and to the best of my knowl- <br /> edge and belief it is true,correct and complete.l acknowledge that 1 am responsible for the detail and accuracy of all infomta• E « « <br /> tion contained In this application(including any accompanying schedule)and I further declare that I recognize that this infor• p <br /> Mallon 1 am providing will be relied upon by the County of Sumett Wisconsin in determining whether to ism a permit. I <br /> further accept all liability which may be a result of the County of Burnett relying on this information 1 em providing In this ap <br /> access to1agree to the above ddee"bilit county <br /> trernises at any�ressonsble time for he purpose of iwith administering county nspecMpn.authorized <br /> person 10 have <br /> SIGN HERE ; <br /> at gntre owner IWing contractoqI tD)) <br /> ZONING ADMINISTRATOR <br /> Pg^` TOWNSHIP PERMITS MAY BE REQUIRED <br /> 1 R- I1 __; I RRRRRR32R iw <br />