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Burnett 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 /> I^ o <br /> o <br /> OWNER L.I�2,a..y E—+vSC--f�/ <br /> S�TEpLEpPNHO(-/N�2E 9.SWz�—93,S--3-70& D <br /> ro <br /> O <br /> MAILINGADDRESS F-0 Got. 134q MINNatiNk-A rr -J T, 3Y, <br /> PROPERTYADDRESS 13b3 CTDD L <br /> ' noLEGAL DESCRIPTION(see tax receipt) �V <br /> ' <br /> �JroC r•- LvT 2 <br /> DWELLING/BUILDING 1:1GARAGEIACCESSORY STRUCTURE ® ADDITION ❑ �t (n <br /> TYPE OF PERMIT(S): \ Q <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION ❑ q <br /> N I <br /> STRUCTURE/ADDITION USE: c GARAGE l�a o' <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) (n <br /> d <br /> BUILDING CONTRACTOR: �C r✓ S�u C i 7 3+3 U f�L I ry��7�(J /�'firZ TFL W�' � <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 81/2 X 11 SHEET OF PAPER. ANY INCOMPLETE OR 3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. -n <br /> O <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) O a <br /> T <br /> T � Z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS (EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m m <br /> NORTH(N). (n Q o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO m a <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. P <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. <br /> 41 <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,CONTRACTOR, ETC.,THE PLANS CT ° <br /> MUST BE SIGNED AND DATED BY THE OWNER. F <br /> o � <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN 0 <br /> NEEDED. R I" <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. o <br /> CONDITIONS OF PERMIT: C> <br /> I <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT <br /> ISSUANCE. tJ <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. • <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY 60 T� <br /> PERMITTED. \ <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS. ETC..ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> 5. This structure to be used as private residential <br /> garage/storage only. Not to be used for human Xao 0 r D 0 D O -0 <br /> M c m d 0 0 o * m <br /> 6. habitation. � 3 a � a D A <br /> �m co <br /> N <br /> 7. Z C N � O O t0 <br /> _ CO in A <br /> I declare that this application (inciumng any accumpanymg bcneawe/ nab ueen exannneu uy me mlu w the best of my C <br /> knowledge and belief it is true,correct and complete. I acknowledge that 1 am responsible for the detail and accuracy of J m c 'n <br /> all information contained in this application(including any accompanying schedule)and I further declare that 1 recognize m T <br /> that this information 1 am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- ° (n <br /> G) =r : <br /> sue a permit. I further accept all liability which may be a result of the County of Burnett relying on this information 1 am m o <br /> providing in this application. 1 agree to permit county officials charged with administering county ordinances or other `D <br /> authorized person to have qeOss to the above described premises at any reasonable time for the purpose of inspection. m a <br /> m <br /> m Di <br /> C' : <br /> SIGN HERE 1, .Z O O � e" ` n <br /> (s' re o vier <br /> building contractor) (date) Uv`: '. <br /> ZONING ADMINISTRATOR <br /> ONUI W W NO <br /> TOWNSHIP PERMITS MAY BE REQUIRED (� o n o n a n o <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF IS§UANCE <br /> ami+-d--LP-��r m6i Ita -1-o La -ry + 6<l 1 J-&- en <br />