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Burnett County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator m o° o <br /> APPLICATION FOR LAND USE PERMITS 3: <br /> _ r <br /> y O ON <br /> C <br /> fD <br /> OWNER ' � � �-y�� �� � � TELEPHONE p <br /> n O <br /> MAILINGADDRESS 'lv'tV� `) n� � . G' 59o, J <br /> PROPERTY ADDRESS a l ri <br /> LEGAL DESCRIPTION(see tax receipt) i <br /> l m <br /> DWELLING/BUILDING ❑ GARAGE/ACCES RY STRUCTURE ADDITION ❑ 0 - <br /> TYPE OF PERMIT(S): <br /> n <br /> FILLING/GRADING ❑ CAMPING UNIT / SUBDIVISION S. <br /> STRUCTURE/ADDITION USE: "�1�S I Ia n� (,C)cl <br /> .^ bin Commercial Business; Bedroom; Deck; etc.) m <br /> 2. <br /> BUILDING CONTRACTOR: �G/'kj '72_C;?_ 47iZ_ ST Sne-7t ✓/ ro <br /> s <br /> 8&6 <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR -n 3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. O <br /> -A N <br /> DIRECTIONS FOR PLOT PLAN DRAWING_ (AERIAL OR TOP VIEW) O n <br /> T <br /> ?1 6 Z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. n m <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS (EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m m <br /> NORTH(N). C ° <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B) BUILDING(S)TO m 30 <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. 1I <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 /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER,BUILDER,CONTRACTOR, ETC.,THE PLANS <br /> MUST BE SIGNED AND DATED BY THE OWNER. f <br /> 0 <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN = ° <br /> NEEDED. CA <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. o <br /> CONDITIONS OF PERMIT: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT <br /> ISSUANCE. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY <br /> PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBA K AREA. <br /> 5. s �,(�/ `f' J��}.tlfifGti/ CD W y m 0 0O Da * m <br /> � 3nm0 <br /> 6. -6 m C y m o 5 3 <br /> o <br /> Z ow 2 <br /> 7. P <br /> m <br /> I declare that this application (including any accompanying schedule) has been exalnined by me and to the best of my 4 O <br /> knowledge and belief it is true, correct and complete. I acknowledge that I am s risible for the detail and accuracy of n A <br /> all information contained in this application (including any accompanying sc I tare that I recognize mCD 0 <br /> m <br /> that this information I am providing will be relied upon by the County of Bur t i sin i r_to ii��i)�1 . to is- 7 <br /> d1T{' br1d. .�E E <br /> sue a permit. 1 further accept all liability which may be a result of the Count I I t I m lam m o <br /> providing in this application. I agree to permit county officials charged wit ministering coun y I o other <br /> authorized person to have access to the above escri ed premises at any re able ti or the purpose of i p tion. m a <br /> v` D <br /> LIQ/lJ 5 n <br /> SIGN HERE fn <br /> ( na re of or building contractor) RNETT U(DLj Ty 0 . <br /> ZONING ADMINISTRATOR ZONING <br /> O N C T W W N O <br /> ONO (P Cn Cil O <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br />