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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 3. <br /> 0 <br /> C <br /> ` a (i\ <br /> OWNER �" TELEPHONE /7/' <br /> J' <br /> v <br /> MAILING ADDRESS <br /> 11.5 l D Y V �d <br /> PROPERTY ADDRESS <br /> p <br /> LEGAL DESCRIPTION(see tax receipt) \.� <br /> o <br /> DWELLING/BUILDING ❑ GARAGE/ACCESSORY STRUCTURE ADDITION ❑ (n <br /> TYPE OF PERMIT(S): <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION ❑ ��1\\ a <br /> �/ 7 N <br /> STRUCTURE/ADDITION USE: �.�CIQ--ems /L� / o <br /> (Home/C n; Commercial Business;Be om; Deck;etc.) t/1 <br /> Ilt� / m <br /> BUILDING CONTRACTOR: ,1(/(fLik jS U <br /> v <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. T <br /> y C <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) O a <br /> T <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 INDIC m a <br /> NORTH(N). o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO m 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. ) �J o h <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 GRADE I D. IN l� <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, COfllMDON <br /> ANS <br /> MUST BE SIGNED AND DATED BY THE OWNER. J 0 0 1 <br /> O � <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFI ON MAY Bo <br /> NEEDED. 044 J <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. I, o <br /> CONDITIONS OF PERMIT: BURN <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT Z N COUNn' <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 /> 5. SETBACK AREA. �ee4 / ,v �Se7! [G e/ <br /> 6 This structure to be used as private residential i; W = 101a m M <br /> garage/storage only. Not to be used for human m y N > > 3 <br /> 7. Z o ; <br />