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Burnett County 7410 Co. Rd. K, No.102, Siren,WI 54872 Office of Zoning Administrator o 0 <br /> APPLICATION FOR LAND USE PERMITS . <br /> N <br /> 2,12 <br /> l/) <br /> C <br /> a <br /> OWNER iG TELEPHONE 2 o W <br /> v <br /> �j " O <br /> MAILING ADDRESS �� t� tr" !A26t�j <br /> c.) <br /> 0 <br /> PROPERTY ADDRESS G 7��� BQ1j{i � KF Lam-£ \ <br /> SCD <�v � � -4�/(i8-tG I—Zf2v'/ <br /> LEGAL D CRIPTION(see taCn <br /> x receipt) s£ AW 1 J3 1'T EKY LEJT ?j V�j <br /> DWELLING/BUILDING ❑ GARAGE/ACCESSORY STRUCTURE V1 ADDITION ❑ c o <br /> 1 7 <br /> TYPE OF PERMIT(S): ( a <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION ❑ <br /> STRUCTURE/ADDITION USE: C7r�ZfYGfE I �4 P <br /> —( <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) m <br /> 2. <br /> BUILDING CONTRACTOR: <br /> CDv <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 81/2 X 11 SHEET OF PAPER. ANY INCOMPLETE OR In 3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. O <br /> N <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) a <br /> T � Z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE.. m 9 �o <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE rno <br /> NORTH(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 ` Z <br /> LAKE,STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. ° <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. N C'—\ <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER,C7 TOR, ETC.,THE PLANS 02, <br /> MUST BE SIGNED AND DATED BY THE OWNER. o j <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERT ATION�( o <br /> ti 4 <br /> NEEDED. � e �w %` <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. ~�� 6 -' o C1 <br /> CONDITIONS OF PERMIT: eUR �CG <br /> 1 <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERM�� <br /> t, <br /> ry <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. <br /> O,/Y/,vG ,Yfit' <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY K/ <br /> PERMITTED. I <br /> 'JI <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> 5• This structure to be used as private residential <br /> mwm2OR m <br /> 6 garage/storage only. Not to be used for human C 2m � a <br /> m -0 a y y = <br /> habitation. Z N m o <br /> 7. 971 i m <br /> I declare that this applica. - <br /> and to the best of my ` O <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of a 0 <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize mCD <br /> o C <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 m <br /> providing in this application. I agree to permit county officials charged with administering county ordinances or othercn <br /> m <br /> authorized person to have access to the above described premises at any reasonable time for the purpose of inspection. T o <br /> SIGN HEFIA <br /> f�G(O EI � m_ <br /> C : <br /> (s n ure nor or building contractor) (date) q ) a <br /> N <br /> ZONING �ro <br /> ( ro <br /> NJ�O (NJt fNli 00TOWNSHIP PERMITS MAY BEREQUIREDPERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE /�C� <br />