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Burnett County 7410 Co. Rd. K, No. 102, Siren,WI 54872 <br /> APPLICATION FOR LAND USE PEOffice <br /> RMITSZoning Adrninistrator z <br /> < <br /> 0 0 <br /> rn 0 O <br /> N <br /> C <br /> OWNER o)-CIO Al a rl-i S TELEPHONE S Z _-.733 cl 0 <br /> MAILING ADDRESS W 14-25'8 570? y� r2SCa m <br /> PROPERTY ADDRESS 27 25-C Cof,LIN Qa �(�py-er w; �'�fgg3 <br /> v !n ClJ <br /> LEGAL DESCRIPTION(see tax receipt) �t:L <br /> ;�26 7..,'T/O IC 1/5 V(P I O <br /> BUJ Cv -R ' <br /> DWELLING/BUILDING LlGARAGE/ACCESSORY STRUCTURE X ADDITION ❑ <br /> TYPE OF PERMIT(S): `p/� � j <br /> FILLING/GRADING Ll CAMPING NIT F] SUBDIVISION ❑ <br /> n 4- <br /> STRUCTURE/ADDITION 56rb rel Q CZara <br /> `- <br /> 9 e <br /> ( Ome Cabin, Commercial Business, Bedroom; Deck; etc.) o <br /> y� / <br /> BUILDING CONTRACTOR: �L 1eS 1..� ' �T4-re C1 Z <br /> J°aTr� N <br /> m <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR m <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. 3 <br /> T <br /> DIRECTIONS FOR PLOT PLAN DRAWING (AERIAL OR TOP VIEW) O <br /> O m Q <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. n o <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE Z <br /> 6 <br /> NORTH(N). m <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES, (B)BUILDING(S)TO m Cn 3 <br /> CENTERLINE OF ROAD,(C)BUILDING(S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF J <br /> LAKE, STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES TO <br /> BUILDINGS, ROADS, LAKE, LOT LINES. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. N <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER,CONTRACTOR, ETC.,THE PLANS <br /> MUST BE SIGNED AND DATED BY THE OWNER. °_ 9J <br /> o <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN o <br /> NEEDED. QJ <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. <br /> CONDITIONS OF PERMIT: zt <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT o J <br /> ISSUANCE. n, <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. w O! <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY <br /> PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WAI I S FTC At I OWFD WITHIN THE RFOUIRED WATER <br /> 5. SETBACK AREA. This structure to be used as private residential <br /> garage/storage only. Not to be used for human <br /> 6. habitation. W 0 r > o a o -0 <br /> 7. " s� om02- <br /> p CD C y N O <br /> OZ C y N O �� � <br /> I declare that this application (including any accompanying scneaule) has peen examinea oy me ana to me oes[ or myrz <br /> m T . in: i <br /> knowledge and belief it is true,correct and complete. i acknowledge that I am responsible for the detail and accuracy of m <br /> all information contained in this application(including any accompanying schedule)and i further declare that I recognize m that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- ' n m <br /> sue a permit. 1 further accept all liability which may be a result of the County of Burnett relying on this information 1 am m . o l7 <br /> providing in this application. 1 agree to permit county officials charged with ad t O <br /> authorized person o have access to the above described premises at any re a other <br /> u e m <br /> tion. <br /> SIGN HERE m a <br /> a m D <br /> y n : <br /> (si a re of o r or building contractor) (�q`Ldat. a <br /> ZONING ADMINISTRATOR MAR 1 ° 2OW <br /> ' - <br /> TOWNSHIP PERMITS MAY BE REQUIREDURNETT COUNTY �` �^ �N <br /> q (a (NJl p <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANICEG <br />