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Click-* /soy <br /> 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 rr``,,,, <br /> N O W <br /> c N <br /> OWNER T"af tali <br /> TELEPHONE <br /> CD <br /> MAILING ADDRESS <br /> PROPERTY ADDRESS L© Ar. I f <br /> Z <br /> LEGAL DESCRIPTION(see tax receipt) 9 25o 2(0 2.Od o <br /> DWELLING/BUILDING GARAGE/ACCESSORY STRUCTURE ❑ ADDITION ❑ I <br /> TYPE OFPERMIT(S): ❑ SUBDIVISION ❑ <br /> FILLING/GRADING ❑ CAMPING UNIT <br /> N <br /> STRUCTURE/ADDITION USE: C �� 0 <br /> (Home/Cabin;Commercial Business; Bedroom; Deck;etc.) C <br /> BUILDING CONTRACTOR: ]?k%� ` CLY}Ya 5'+ <br /> Z � <br /> CD <br /> v <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR m 9 \' <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. !� <br /> � <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) a C <br /> 0 ,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). 3 <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO rn <br /> CENTERLINE OF ROAD,(C)BUILDING(S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OFI <br /> LAKE,STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. j .O° <br /> `` <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES TO C <br /> BUILDINGS,ROADS, LAKE,LOT LINES. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED N� <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER,BUILDER,CO ll�' S 5. <br /> MUST BE SIGNED AND DATED BY THE OWNER. ) v <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICAT�I N MA1ti1 DANE WHE o <br /> NEEDED. �wir <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. BURIVE 0 <br /> CONDITIONS OF PERMIT: 2OA� A'OVN 'j <br /> ry <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT '9//VG <br /> ISSUANCE. L) <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY G <br /> PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS,ETC., ALLOWED WITHIN THE REQUIRED WATER W <br /> SETBACK AREA. <br /> M or <br /> 6. 3 5. 2 � R S � <br /> 'O N C y y O j T+ <br /> 7. Z 6; (OD' <br /> O -i`G <br /> rn i : : m <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the best of my c' ` C <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy ofa 2 , N; <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize m o my <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 w <br /> providing in this application. I agree to permit county officials charged with administering county ordinances or other <br /> to o rn i <br /> authorized person to have access to the above described premises at any reasonable time for the purpose of inspection. W <br /> CD o <br /> CD m <br /> SIGN HERE <br /> (signature o er or building co ractor) (date) o <br /> ZONING ADMINISTRATOR rn qj E E E <br /> ./- y, Vµ'n..n.. /� fA fA EA EA-N <br /> 1 'l o �IIY��i 000 CCPCD0 <br /> l lo -' TOWNSHIP PERMITS MAY BE REQUIRED <br /> u,2.1�G THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br />