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Burnett County 7410 Co. Rd. K,No. 102,Siren,W154872 Office of Zoning Administrator m o 0 <br /> APPLICATION FOR LAND USE PERMITS 3 <br /> m <br /> c <br /> m <br /> OWNER �.Z 0'r-� -e "�J, -e-ft-c4� " �—Y �l TELEPHONE 73 p <br /> m <br /> MAILING ADDRESS //� r J {( O <br /> PROPERTYADDRESS l` <br /> Parcel 07- 22- -S/0 -l6 -OH-3 05/000U/40 '5'0 CU <br /> LEGAL DES RIPTION(see tax receipt) /..0f5 C S rn V1 2P 1?f) (-t, 3 y UCD <br /> DWELLING/BUILDING ❑ GARAGEIACCESSORY STRUCTURE Z ADDITION ❑ <br /> o <br /> TYPE OF PERMIT(S): <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION ❑ 2k(' C a < <br /> STRUCTURE/ADDITIONUSE: V GL! cc P `� yv\ 0 <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) W <br /> BUILDING CONTRACTOR: -e— <br /> M <br /> m <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR G 3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. <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 INDICATE m �? <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 6 v <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. 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. <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 O <br /> MUST BE SIGNED AND DATED BY THE OWNER. o t <br /> o <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN 9 <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. Z Q <br /> CONDITIONS OF PERMIT: P 41, <br /> 1 <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT O <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. Q <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS.ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> 5. r <br /> SETBACK AREA. This structure to be used as private residential (N <br /> garage/storage only. Not to be used for human M m 0 m > O a O � <br /> 6. habitation. 3 M X a <br /> oc R7. Z o m <br /> yI declare that this application (including any aCCOMPdIlyffly scnvuu.a> 1100 ova.. ..a...... best of my ` EA i A <br /> -4 <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize i m ? 0 <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- `=' cn: <br /> sue a permit. 1 further accept all liability which may be a result of the County of Burnett relying on this information I am m o <br /> providing in this application. I agree to permit county officials charged with adm I ar o S D <br /> y : <br /> authorized person to have access to the above described premises at any reasons r t fD ' a <br /> C <br /> V a <br /> SIGN HERE oZ <br /> is a roof own o wilding contractor) A�� 4d 11 <br /> )__ ` o <br /> R C�(IWfI JC <br /> ZONING ADMINISTRATOR <br /> (� yr i i EA N <br /> BURNETT COUNTY L/ O N(tel N O <br /> O N O W W N O <br /> TOWNSHIP PERMITS MAY BE REQUIRED ZONING <br /> THI ERMIT HAL EX I E ONE YEAR FROM DATE OF ISSUANCE <br /> Xr M Gc t Y2d 4-o 6e-o rgc 4-A-r le44oL Farm F 36 �5- <br />