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Burnett County 7410 Co. Rd. K, No. 102, Siren,W154872 Office of Zoning Administrator -U o° o <br /> APPLICATION FOR LAND USE PERMITS . <br /> N M <br /> N <br /> C ,-A W <br /> OWNER 1.`��F L V I I. ),�C7 W TELEPHONE 6 5 1- 7 S-6 Y� Z v C.6 <br /> l <br /> MAILING ADDRESS F y ).Z I1Jooul��� J7R I�ooUBuKy Mrs 5� 12C <br /> r m <br /> 0 <br /> PROPERTY ADDRESS 2 3 Q) tl LIFF U 1 a K 3 T)L k W 1 S � X 7 3 1 ; <br /> LEGAL DESCRIPTION(see tax receipt) 6IL / L f Csm Va P1, Y Q-/-S— p <br /> DWELLING/BUILDING ❑ GARAGE/ACCESSORY STRUCTURE ❑ ADDITION ❑ (n <br /> TYPE OF PERMIT(S): v ' <br /> FILLING/GRADING14 CAMPING UNIT ❑ SUBDIVISION ❑ o; <br /> m <br /> STRUCTURE/ADDITIONOSE: <br /> (Home/Cabin;Commercial Business; Bedroom; Deck; etc.) r„ <br /> BUILDING CONTRACTOR: <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8'fe X 11 SHEET OF PAPER. ANY INCOMPLETE OR 3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. p <br /> y C <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) O o <br /> mz <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. n w D <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m :° <br /> NORTH(N). � o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO m v <br /> CENTERLINE OF ROAD,(C)BUILDING(S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF rr..,. t�. <br /> LAKE,STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. W ') PZ <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES TO Q <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,C LA' <br /> TC.,THE PLANS 0. <br /> MUST BE SIGNED AND DATED BY THE OWNER. 1 0 <br /> NOTE: BUILDINGISTRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VER(J ATIO <br /> NEEDED. 'IA, I P. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. Ju,r �I o G <br /> CONDITIONS OF PERMIT: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT ZO COU <br /> C 1 <br /> ISSUANCE. ZONING <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY }vim t'1 <br /> PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> 5. Ir ff1S1Wjti *#tJ ,Jw4jGo a oCjfi&jd 1 ri� atlr� /ITL&Sr q0*4 ONW404L 1� M FP. QjCWGlj�r�Efy,jgjjQ n COD <br /> 6. a m C y 0 o <br /> �, om <br /> Z T� <br /> =W :! m <br /> declare that this application (including any accompanying schedule) has been examined by me and to the best of my G)c C <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of iu o <br /> au, <br /> te : IMFD <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize ° e O <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 C�) m \ <br /> providing in this application. I agree to permit county officials charged with administering county ordinances or other o <br /> authorized person to have access to above described premises at any reasonable time for the purpose of inspection. � m o <br /> SIGN HERE 6 / 'L9 <br /> gnatu caner or building co r ctor) (date) ) <br /> ZONING ADMINISTRATOR <br /> 636)fA fA�N <br /> �4 VNi O(Nii CNi� 00 <br /> � OATOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br />