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Bufoett County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator m o 0 <br /> APPLICATION FOR LAND USE PERMITS 3. <br /> N O» <br /> N <br /> OWNER j&&K ! / F�RE�D TELEPHONE 7�3-?�sy-9�iss o <br /> MAILINGADDRESS 35 N6C-064AZ CT A/46 ?-MALS-, <br /> r <br /> 0 <br /> PROPERTYADDRESS !/Do W&3j r7 A® <br /> LEGAL DESCRIPTION(see tax receipt) CD <br /> DWELLING/BUILDING ❑ GARAGE/ACCESSORY STRUCTURE I� ADDITION ❑ c 0 /1 <br /> TYPE OF PERMIT(S): a <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION ❑ ' ,�� N: <br /> STRUCTURE/ADDITION USE: <br /> (Home/Cabin;CCoommercii Bushiness;Bedroom; Deck;etc.)) C <br /> BUILDING CONTRACTOR: ��� ,v` / �'iEN Z-he ('_Af- <br /> v <br /> M <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN BYs X 11 SHEET OF PAPER. ANY INCOMPLETE OR -n 3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. O <br /> :G N <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) OT o tr <br /> T v Z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. m <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE <br /> NORTH(N). ° <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO m B <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. LV ° <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. * n 1 <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. N C� <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC.,THE PLANS 1 3 <br /> MUST BE SIGNED AND DATED BY THE OWNER. ° <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFIQ E WHEN <br /> NEEDED.THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. oCONDITIONS OF PERMIT: j :7va l I <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF 8UMIT // <br /> ISSUANCE. VEGETATION IS RESTRICTED ALONG SHORE . TIN <br /> 2. REMOVAL OR CUTTING OF TREES AND <br /> 3 NO GRATDINGED. OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY 61 CIVIN6Ul0), <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. ,, // <br /> s. �>t1RA6e 1� !3E �7� K 7i�1 It <br /> i� C>U s�n/ ; ; o n o <br /> 6' This structure to be used as private residential R 3 n m `<n A <br /> N C y : O 3 <br /> 7, garage/storage only. Not to be used for human o a m <br /> T m <br /> habitation. <br /> I declare that this application (includ.... .., __ _...,_..,...s, .. " ..oma .tea.. a�a„„„�� my iiie and to the best of my �cC <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of n 2 N <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize m o rn <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- <br /> sue a permit. I further accept all liability which may be a result of the County of Burnett relying on this information I am m <br /> providing in this pplication. 1 gree to permit county officials charged with administering county ordinances or other o <br /> authorized perso to have acc s to thp above described premises at any reasonable time for the purpose of inspection. m o <br /> Q m <br /> �- <br /> SIGN HERE 40`1iK-0 - °- <br /> (sigrifture of owne uilding contractor) (date) <br /> ZONING ADMINISTRATOR8 (0 N <br /> O N N 0 0 <br /> TOWNSHIP PERMITS MAY BE REQUIRED q7 S <br />