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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 /> r <br /> N <br /> OWNERTELEP <br /> S <br /> Weal <br /> ! �6 nTELEPHONE (i <br /> o X11 a <br /> MAILINGADDRESS +�g/n n� ).] v O <br /> PROPERTYADDRESS � vj K d 1 <br /> Se Iq - 13A 40$ 37/ SC Iq � 3� go?/ 3-7j <br /> LEGAL DESCRIPTION(see tax receipt) S/ti /1'4 0 / 1214 iti /I Ll o 1z IH W ` c S <br /> A <br /> DWELLING/BUILDING K GARAGE/ACCESSORY STRUCTURE ❑ ADDITION ❑ rn 0 <br /> TYPE OF PERMIT(S): iS <br /> FILLING/GRADING ❑II CAMPING UNIT ❑ SUBDIVISION ❑ <br /> '' <br /> STRUCTURE/ADDITION USE: • C) VK e_ 0 <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) ? <br /> BUILDING CONTRACTOR: .Jchln 1 We—o�y0 <br /> 1 <br /> m <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR 3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. (� OLi /I /1 O y l� <br /> ili l�l� A <br /> DIRECTIONS FOR PLOT PLAN DRAWING- (AERIAL OR TOP VIEW) A m <br /> -n n <br /> Z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. T � <br /> t7 m A <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m ;? <br /> NORTH(N). C n <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO In a <br /> CENTERLINE OF ROAD,(C)BUILDING(S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF <br /> LAKE, STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. I 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. O <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. ry �U <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER,BUILDER,CONTRACTOR, ETC.,THE PLANS O �1'0 00 <br /> MUST BE SIGNED AND DATED BY THE OWNER. 15 <br /> O -z <br /> NOTE: BUILDINGISTRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHENg <br /> ar <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. vJ O <br /> CONDITIONS OF PERMIT: (9 W <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT <br /> ISSUANCE. lJ© <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. (� <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY J „� <br /> PERMITTED. v� <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> 5. <br /> W0 y a m a 0 M <br /> 6. m x3 nm xam ;D <br /> c omcN `,' 053 <br /> 7. Z C N N O <br /> O N -n G m <br /> I declare that this application (including an accompanyingschedule has been examined b me and to the best of m — ^ A <br /> PP ( 9 Y ) Y Y [ G) 3 c <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of ; m 2 <br /> all information contained in this application (Including any accompanying schedule)and I further declare that I recognize m $ m <br /> that this Information I am providing will be relied upon by the County of Burnett Wisconsin In determining whether to is- to <br /> O : s : <br /> sue a permit. I further accept all liability which may be a result of the County of Burnett relying on this Information lam m : o <br /> providing In this application. I agree to permit county officials charged with a ther <br /> m <br /> authorized person to h access to the above described premises at any reaso )^ r r on.ILL <br /> ` m <br /> r a : <br /> D <br /> SIGN HERE - a <br /> (sign\ 1 1-R�owne�r orb 'Id gc�o/nitraFtor) NOV 2 8 <br /> S ATO � ) <br /> ZONING ADMI R � 'r I yJ �l/L, `I /� <br /> BURNETT COUNTY <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> ZONING <br /> THIS PERMIT SHAL XE YEADATE ISSUANCE <br /> f �rnlf ��e P ONE a�R R li-a �STUJDn IWia.tAer <br />