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('71 rnmp- <br /> 1111611111111116ft County 7410 Co. Rd. K, No. 102, Siren, WI 54872 Office of Zoning Administrator 5 o E c <br /> APPLICATION FOR - LAND USE - PERMITS <br /> TO THE ZONING ADMINISTRATOR:The undersigned hereby makes application for a Permit for the work described and <br /> located as shown herein. The undersigned agrees that all work shall be done in accordance with the requirem$ms of the $ Q\ <br /> B(unett County Land Use Ordinance,Sanitation Code,and with all other applicable County Ordinances and the,laws and <br /> regulations of the Stale of Wisconsin. <br /> m_ <br /> w <br /> OWNER Oak Ridge Partners TELEPHONE (715)259-3346 n A <br /> ADDRESSm <br /> 31453 Webb Lake Drive Danbury, WI 54830 <br /> EMERGENCY/FIRE NUMBER ROAD NAME North Webb Lake Driv# <br /> LEGAL DESCRIPTION (seetaxreceipt) jW NW, Section 9, T41N, R14W, Town of Webb Lake rel <br /> CONTRACTOR t)� <br /> 1 / I <br /> I <br /> TYPE OF PERMIT(S): DWELLING/BUILDING GARAGE/ACCESSORY STRUCTURE ADDITION � <br /> 0 <br /> SANITARY X PRIWFILLING/GRADING CAMPING UNITSUBDIVISION o <br /> o` < <br /> STRUCTURE/ADDITION USE: Sanitary Only H o f <br /> z o !` <br /> (Home/Cabin;Commercial Business;Bedroom; Deck;etc.) <br /> o <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (Aerial or top view) 3 o <br /> 1. Show the location and size of all existing buildings (EB) and all new buildings (NB) and Indicate North (N). <br /> 2. Show the location of the well (W),septic tank (ST), and drainfield (DF). r <br /> 3. Show dimensions in feet ofthefollowing:(a)building to all lot lines,(b)building to center line of road,(c),builtling <br /> measurement to the ordinary high water mark of lake,stream, or river. w <br /> 4. If separate plans are submitted by an architect,engineer,builder,Contractor,etc.,the plans must be signed and 9 <br /> dated by the owner. O <br /> O O <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED FOR ONSrrE VERIFICATION BEFORE A PERMIT CAN BE ISSUED. 1! o <br /> N <br /> PLOT PLAN 71 Z ` <br /> A o n <br /> m' <br /> C <br /> III <br /> C <br /> s <br /> SEE ATTACHED c <br /> 0 <br /> m <br /> O y <br /> w <br /> ! � Z <br /> a <br /> ' F <br /> m <br /> CONDITIONS OF PERMIT: o m g:� C g g 33 <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT ISSUANCE. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. N i i <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. Zn'': E O C <br /> I declare that lois application(Including any accompanying schedule)has been examined by me and to the best of mknowl- » . <br /> edge and belief it is true,correct and complete.1 acknowledge that I am responsible for the detail and accuracy of all nforma- « « <br /> tion contained in this application(including any accompanying schedule)and I further declare that I recognize that this inior- $d0 ; m <br /> Mellon I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to issue a permit. 1 <br /> further accept all liability which may be a result of the County of Burnett relying on this information I am providing in this ap- <br /> plication.I agree to permit county officials charged with administering county ordinances or other authorized person to have ' <br /> access to the above described promises at any reasonable time for the purpose of inspectiPa.-----� -- <br /> . - r <br /> SIGN HERE Wade RufshOlm I a <br /> (signature of owner o ulldl co t <br /> ZONING ADMINISTRATOR I, �` ' ' <br /> 8i <br /> ILe <br /> LJ U _ N <br /> TOWNSHIP PERMITS MAY BE REQUIRED m <br /> -- - 88�88 $8fmii <br />