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Burnett County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator - o° o <br /> APPLICATION FOR LAND USE PERMITS 3. <br /> Home- q5,a-a33- S7to3 <br /> CD <br /> ,OWNER F _rFL�Lc,Ke, '1l5 -Lp5(o-,31 Dq o <br /> m <br /> MAILING ADDRESS 10 IFu I I er �+• Shq}(d�ee i (Yl n 553 G V o <br /> J r � <br /> 0 <br /> PROPERTYADDRESS a"1 q)q O Cyan herr-V L.09c IDI-. 1Dan1x4cq ,W-T 54 S30 <br /> - r <br /> Sec+ior) 3S Tpwv) 41 Actn9t UP <br /> LEGAL DESCRIPTION(see tax receipt) PCL. G� LA{ a m <br /> - — - o <br /> DWELLING/BUILDING ❑ GARAGE/ACCESSORY STRUCTURE ❑ ADDITION ❑ In <br /> TYPE OF PERMIT(S): a <br /> FILLING/GRADING ❑ CAMPING UNITr SUBDIVISION ❑l �j <br /> STRUCTURE/ADDITION USE: t�u i u P LLO� PF-S a03 H <br /> (Home/Cabin; mmercial Business; Bedroom; Deck; tc.) co <br /> BUILDING CONTRACTOR: ' 'M`'l IPa V1 Ty)c'j�pov-4a:,no <br /> m <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 81/2 X 11 SHEET OF1 PAPER. ANY INCOMPLETE OR 3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. .� y I '� ^ T <br /> N(IIQ r1Dt+�lKlS PuIII� � RvrML 0 r <br /> 1 U .Z1 N <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) O a <br /> -n Z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. R m A <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE <br /> NORTH(N). y 3 <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO Im .o <br /> CENTERLINE OF ROAD,(C)BUILDING(S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF / Z <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. W <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. C(7,., N <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER,CONTRACTOR, ETC.,THE PLANS "1 0 <br /> MUST BE SIGNED AND DATED BY THE OWNER. fkA <br /> o n W <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN a G) <br /> NEEDED. N <br /> 1 <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. o C, <br /> CONDITIONS OF PERMIT: t _ <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT r (� <br /> ISSUANCE. <br /> Cl <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY <br /> PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> 5. onSi <br />