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Burnett County 7410 Co.Rd. K,No.102,Siren,WI 54872 Office of Zoning Administrator - 0 0 <br /> APPLICATION FOR LAND USE PERMITS <br /> r <br /> N 0 _Y^ <br /> n m t <br /> OWNER TTAl-� S�}IV�tZL TELEPHONE 6Sa' -70a-'9R77 d <br /> MAILINGADDRESS 3 1©7 ZO <br /> PROPERTYADDRESS <br /> oFP pF TOyZboN '94cK '(1241L— Uf4tvi;uK \ ' <br /> LOT PIVE 5a0V m It VOL,VOL, !b, P 4t a.D 40 s <br /> LEGAL DESCRIPTION(see tax receipt) lkCco0i6 I^rO [1 of MC7 OFDt-EDS Fol Rua4err C0V^rre��i I <br /> LD D N S. f7- S, Y ST, tb#vvvb0 L4). m <br /> � <br /> { IvUi'_iil R E 'O" <br /> DWELLING/BUILDING Lbl, GARAGE/ACCESSORY STRUCTURE ❑ ADDITION ❑ / I cn <br /> TYPE OFPERMIT(S): IbftW $u `v <br /> FILLING/GRADING ❑ AMPING UNIT El SUBDIVISION Elr �.OV G a <br /> STRUCTURE/ADDITION USE: D C N Hum E o I <br /> r(Home/Cabin;Commercial Business; Bedroom; Deck; <br /> etc..)) Cn <br /> BUILDING CONTRACTOR: BOBS CLONCR ETiFJ l SELS I�(_moi <br /> v <br /> CD <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8'h X 71 SHEET OF PAPER. ANY INCOMPLETE OR 3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. m0 3. <br /> 21 m <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) O m <br /> 'rl a <br /> Z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. :E!i7 w 70 <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m D <br /> NORTH(N), y o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO m 3 <br /> CENTERLINE OF ROAD,(C)BUILDING(S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF O v <br /> LAKE,STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. ( G o <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. e,O <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,CONTR�-ETC.,THE PLANS � 0 i <br /> MUST BE SIGNED AND DATED BY THE OWNER. ) ���� 0 <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICA N MAY BE o <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. Jury o I <br /> CONDITIONS OF PERMIT: gURNE <br /> 1 RIVEWUANY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT Z01NG U 7Y C <br /> 2 .REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY W <br /> PERMITTED. J <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> 5. <br /> 6. m mw0mma, <br /> C> <br /> 3 � (D W <br /> CD ami <br /> N C <br /> 00 N 0 7 <br /> 7. z A m G : <br /> o ' � <br /> O n <br /> I declare that this application (including an accompanyingschedule has been examined b me and to the best of m J:; ' `: O <br /> PP ( 9 Y ) Y Y L7 � <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of w C E ifl <br /> C1 u, • >1 <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize m o C <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin In determining whether to is- m E <br /> sue a permit. 1 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 application. I agree to permit county officials charged with administering count ordinances or other <br /> PP 9 P tY 9 9 Y , <br /> authorized person to have access to the above described premises at any reasonable time for the purpose of inspection. m mo : <br /> SIGN HERE <br /> signature of owner or building ntractor) (date) R '' ` a <br /> ,/ XJ <br /> ZONING ADMINISTRATOR <br /> ^ � d o69 I <br /> Ifvll `V NN-�"' ( ` " TOWNSHIP PERMITS MAY BE REQUIRED l ��j V N <br /> T-S PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br />