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Burnett County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Offico of Zoning Administrakor -0 0 Z <br /> APPLICATION FOR LAND USE PERMITS 3 ° <br /> r <br /> N 0 <br /> OWNER .SL,��I-JrU 1.(Z / / � 8 7GEPN <br /> n <br /> m <br /> MAILING ADDRESS 317 v u �� �1�' pore O <br /> r � <br /> PROPERTY ADDRESS r`L , 0 <br /> LEGAL DESCRIPTION(see tax receipt) ' CSM V /5 Q cn <br /> m <br /> DWELLING/BUILDING ❑ GARAGE/ACCESSORY STRUCTURE ADDITION �( o <br /> TYPE OF PERMIT(S): <br /> Q <br /> FILLINGlGRADINGCAMPI�N)G UNIT ❑ SUBDIVISION ❑ a <br /> STRUCTURE/ADDITION USE: Cx-C6Ctc'�r'� <br /> (Home/C blom eraal Business; B room; D ; etc.) <br /> BUILDING CONTRACTOR: > <br /> m <br /> CD <br /> C <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 81/2 X 11 SHEET OF PAPER. ANY INCOMPLETE OR <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. -n 3 <br /> O UI <br /> N <br /> DIRECTIONS FOR PLAT PLAN DRAWING: (AERIAL OR TOP VIEW) O m <br /> m a <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. T Z <br /> n � � <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 m 3 <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. Z <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES TO 9 <br /> BUILDINGS, ROADS, LAKE, LOT LINES. <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,CONTRACTOR, ETC.,THE PLANS 0 <br /> MUST BE SIGNED AND DATED BY THE OWNER. <br /> F <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN a <br /> NEEDED. N <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. Z 1 <br /> CONDITIONS OF PERMIT: P <br /> l <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT <br /> ISSUANCE. ` J <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY �f <br /> PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER (�1 <br /> SETBACK AREA. <br /> 5. <br /> 6. m r D O a C <br /> F m <br /> m x3 o. (OD x9' cD ."0 <br /> p (b C y y O 3 <br /> 7. Z C rn p cp -1 <br /> CID : .,� m <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the best of my in: D <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of C <br /> Ut <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 tyyy���+++��� hether to is D in ' <br /> sue i permit. I further accept all liabilit which may be a result of the �� L7 : 0 <br /> Y Y I i n motion I am m o <br /> providing in this application. 1 agree to pes c my officials charg t c t i a es or other <br /> authorized perso to have access to the aBove ribed remises at reasona le line or t e purpo inspection. <br /> �t L <br /> SIGN HERE !"�[`a P�rit� N a _ <br /> (signat a of owner or building contractor) ( to `' o <br /> r, 1-- <br /> ZONING ADMINISTRATOR V 1m Fbn yl�n BURNETT COUNTY <br /> ZONING o N W <br /> TOWNSHIP PERMITS MAY BE REQUIRED " o <br /> THIS PER IT S�L-EXt I'tQyE YEAR FROM D 4TE OF, ISSUANCE Klee -er 6 9-C <br />