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/ <br /> Burnett County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator ,� a o <br /> APPLICATION FOR LAND USE PERMITS E <br /> o <br /> TO THE ZONING ADMINISTRATOR: The undersigned hereby makes application for a Permit for th work z <br /> described and located as shown herein. The undersigned agrees that all work shall be done inccor- `� <br /> dance with the requirements of the Burnett County Land Use Ordinance,Sanitation Code,and with all other <br /> applicable County Ordinances and the laws and regulations of the State of Wisconsin. N m <br /> OWNER Elvira Hope Trust, James E. Steel, TTEE TELEPHONE (715) 386-2949 <br /> HOME ADDRESS 1032 - 4th St. , Hudson, WI 54016 ° v <br /> EMERGENCY/FIRE NUMBER NSA ROAD NAME Scenic View <br /> 1 Q1 <br /> LEGAL DESCRIPTION(see tax receipt) Doc. #292711, Vol. 5 of <br /> Lot 6 of Sunrise Beach Plats P 214 <br /> CONTRACTOR Self <br /> 0 <br /> TYPE OF PERMIT(S): DWELLING/BUILDING—GARAGE/ACCESSORY STRUCTURE x ADDITION� ii��' � —1 <br /> 0 <br /> 0 <br /> SANITARY PRIVY FILLING/GRADING CAMPING UNIT SUBDIVISION i <br /> I o <br /> STRUCTURE/ADDITION USE: Stairway <br /> (Home/Cabin; Commercial Business; Bedroom; Deck;etc.) <br /> r <br /> A PLOT PLAN MUST BE PROVIDED ON A SEPARATE SHEET OF PAPER. ANY INCOMPLETE O <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. r <br /> O <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (Aerial or top view) <br /> O 3 <br /> T P m <br /> 1. All required dimensions or distances to be shown or drawn to scale. � o aFL <br /> 2. Show the location and size of all existing buildings (EB)and all new buildings(NB) and indicate m U n <br /> North (N). C <br /> rn <br /> 3. Show dimensions in feet of the following: (a) building(s) to all lot lines, (b) building(s)to centerline of m <br /> road, (c) building(s) measurement to the ordinary high water mark(OHWM)of lake, stream or rive, 0 <br /> 0 <br /> 4. Show the location of the well(W), septic tank(ST) and drainfield (DF), and all distances to buildingS, d <br /> roads, lake, lot lines. <br /> 5. Indicate if a walkout basement is planned and show areas to be graded or filled. i 0 <br /> 6. If separate plans are submitted by an architect, engineer, builder, contractor, etc., the plans must e <br /> signed and dated by the owner. <br /> (� LP c <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED FOR ONSITE VERIFICATION BE 0 <br /> FORE A PERMIT CAN BE ISSUED. <br /> 0 <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. �1 <br /> CONDITIONS OF PERMIT: o <br /> N � <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT <br /> ISSUANCE. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY z <br /> PERMITTED. ( a <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN 75 FEET OF TT <br /> 5. OHWM OF LAKES, PONDS, RIVER UNLESS SPECIFICALLY PERMITTED. <br /> 6. <br /> mmv(nETDDO <br /> 7. a o.� �. � � R $ ££ m <br /> p � nm0 <br /> II y S. N. : N 5. <br /> O J 40 <br /> 8. 9 z fRi 4iQ <br /> o �2 i M <br /> 8 u� ci2 [ m <br /> o f m 2 O <br /> I declare that this application including any accompanying schedule) has been examined me and to the best o my i m <br /> knowledge and belief it is true,,correct and complete. I acknowledge that 1 am responsible foror the detail and secure of <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recog iz f E o o <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in deE $ E $ E <br /> sue a permit. I further accept all liability which may be a result of the County of Burnett relyinrmining whether t Is- <br /> g teto this information am <br /> providing In this application. I agree to permit county officials charged with administering county ordinances Information <br /> her n $ <br /> authorized person to have access to the above described premises at any reasonable time for the purpose n Inspect on.----------------------------------- <br /> ------------------- <br /> m ! y <br /> SIGN HERE G as [ (q <br /> i raj i <br /> Ig taro o!own r o Iltling contractor) (date) $ <br /> U1 <br /> ZONING ADMINISTRATOR '• $ <br /> �. � -n <br /> TOWNSHIP PERMITS MAY BE REQUIRED o m w o , moo m <br /> oS000 $ $ N <br /> p O O O O <br />