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ff CD" / <br /> Burnett County 7410 Co. Rd. K, No. 102, Siren, WI 54872 Office of Zoning Administrator 0 3 £ o <br /> APPLICATION FOR - LAND USE - PERMITS z = 0 b <br /> TO THE ZONING ADMINISTRATOR:The undersigned hereby makes application for a Permit for the work described and N . <br /> located as shown herein. The undersigned agrees that all work shall be done in accordance with the requirements of the 3 n <br /> Burnett County Land Use Ordinance,Sanitation Code, and with all other applicable County Ordinances and the laws andRt <br /> regulations of the State of Wisconsin. O <br /> n £ <br /> OWNER Oak Ridge Partners TELEPHONE (715)259-3346 a C <br /> ADDRESS 31453 Webb Lake Drive Danbury, <br /> WI 54830 (� <br /> EMERGENCY/FIRE NUMBER 31453 ROAD NAME N. Webb Lake Drive � P <br /> LEGAL DESCRIPTION (see tax receipt) NW NW, Section 9, T41N, R14W, Town of Webb Lake <br /> I <br /> CONTRACTOR I ' <br /> TYPE OF PERMIT(S): DWELLING/BUILDING GARAGElACCESSORY STRUCTURE ADDITION <br /> 0 <br /> n O <br /> 0 <br /> SANITARY 7f PRIVY FILLING/GRADING <br /> CAMPING UNIT SUBDIVISION '- <br /> r <br /> o <br /> STRUCTURE/ADDITION USE'. v <br /> (Home/Cabin; ommercial Business;Bedroom;Deck;etc.) 0 9 / <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (Aerial or top view) I �\ <br /> and (NB) and Indicate North (N). <br /> 1. Show the location and size of all existing buildings and(EB) <br /> drainall newbuildings O 4 <br /> 2. Show the location of the well (W),septic tank (ST), (D IF)• <br /> 3. Show dimensions infeet ofthefollowing:(a)buildingto all lot lines,(b)buildingto center line of road,(c)buliding <br /> measurement to the ordinary high water mark of lake,stream,or river. <br /> 4. If separate plans are submitted by an architect,engineer,builder,contractor,etc.,the plans must be signed and O <br /> dated by the owner. 3 <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED FOR ONSITE VERIFICATION BEFORE A PERMIT CAN BE ISSUED. 1I a c <br /> 71 Z S <br /> PLOT PLAN <br /> C <br /> CIO <br /> o <br /> I I <br /> C <br /> I N <br /> m <br /> n <br /> 0 <br /> J <br /> SEE ATTACHED <br /> N lull <br /> Ir <br /> o <br /> z <br /> r <br /> f <br /> X c� rcDi aO . <br /> F f <br /> Mi m yMm <br /> Cy 0 0 J <br /> p f ? 0 z <br /> CONDITIONS OF PERMIT: 21 <br /> - <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT ISSUANCE. -N: <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. <br /> 2 :4W <br /> 3. <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. p 2 M <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my knowl- o <br /> the detail 9iii <br /> ton contained lfit is in this application(nncluding any ac ompanying schedule)and I flurtherrrdecla a tthat Idrecogniize thataccuracy of lthis in oar- ; big <br /> mation I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to issue a permit.a I - <br /> further accept all liability which may be a result of the County of Burnett relying on this information I am providing in this ap- d, <br /> plication.1 at to permit county officials charged with administering county ordinances or other authorized person to have m o m <br /> n E 3 R <br /> access to the above described premises at any reasonable time for the purpose of inspection. m <br /> m y <br /> H' <br /> SIGN HERE da e o <br /> (signature of owner or bulli ng contractor) ; . <br /> ZONING ADMINISTRATOR <br /> TOWNSHIP PERMITS MAY BE REOUIRED <br /> obo <br />