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�_...._.. �..unty 7410 Co. Rd.K, No. 102,Siren,WI 54872 Office of Zoning Administrator 3 0 Z <br /> APPLICATION FOR LAND USE PERMITS - (_�j <br /> N v <br /> _ N <br /> OWNER S H i o 1 L 3 IL N 3�Ar N S K I TELEPHONE 7 / (v q� 3 0 = j' <br /> CD 0 <br /> 54Syd <br /> MAILING ADDRESS DfD <br /> A� 4 L lam ° <br /> PROPERTY ADDRESS FIR., /vO• hPrL�G� ryR l sT � RI VEW�r �2rN) 1 <br /> p) PCL 1A) S ��� E.�E Lrw� Sor <br /> LEGAL DESCRIPTION(see tax recei t <br /> d <br /> � o <br /> ARAG CCESSORY STRUCTURE Q ADDITION ❑ <br /> DWELLING UILDING ❑ n � <br /> TYPE OF PERMIT(S): n <br /> FILLING/GRADING CAM�IN9 UNIT 11 SUBDIVISION e, <br /> STRUCTURE/ADDITION USE: TA D Mm <br /> ,Home/Cabin;Commercial Business,BeQdroom,Deck,etc) m <br /> BUILDING CONTRACTOR: W N5<t-t.t PFET C(G 1J SDS Po goX 676 MSN Z <br /> l.l�.) •S"I m <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR -n Uj <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. m <br /> O o to <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) ,n 0 Z <br /> n w A <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 C n <br /> NORTH(N). rn O <br /> 3. SIHOW 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 c <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)IAND ALL DISTANCES TO <br /> BUILDINGS,ROADS,LAKE, LOT LINES. D N <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE THF PLANS ? -4 <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUIL r ) o <br /> MUST BE SIGNED AND DATED BY THE OWNER. �; - .`jp a <br /> NOTE: BUILDINGISTRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE RIFIC �ABgE DOkfldl EN n <br /> NEEDED. BV `Op? /I Z <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. RNETj U o <br /> CONDITIONS OF PERMIT: A27OIVUVNJY � <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT//I �+ <br /> ISSUANCE. Q� <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. y <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY <br /> PERMITTED. <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS,ETC.,ALLOWED <br /> `WITHIN'THE REQUIRED WATER <br /> SETBAC/� ���KApREA. ����1 ! U lJ I <br /> 5. <br /> UUCDM <br /> n m O <br /> 3 x a = :0 <br /> O N C N N O = 3 <br /> 6. N o <br /> O -n� <br /> 7. - N m m <br /> application(including an accompanying schedule) has been examined by me and to the best of my C <br /> I declare that this app' 1 9 y 5 O v <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of m o d' <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize _ CID <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 <br /> providing in this application. I agree to permit county officials charged with administering county ordinances or other <br /> M : U) : <br /> authorized person to have access to the above described premises at any reasonable time for the purpose of inspection. -nm : <br /> m <br /> 01 <br /> SIGN HERE (date) <br /> ignwner or building con tqr) <br /> ZONING ADMINISTRATOR <br /> N V t N N O O <br /> N O OI N O O <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br />