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Burnett County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator -CD o 0 <br /> APPLICATION FOR LAND USE PERMITS 3 <br /> r <br /> OWNER Vr(Glf, CVIYP6 TELEPHONE /L' S�O� - � OaC) <br /> (� �^ I ' C �7 1 m <br /> MAILINGADDRESS 516 rn(J�dBw lRyl�- Qd S�. M/�(4x,,/ MA) SS3-7C,. <br /> r <br /> +�D q / ) 0 <br /> �.Z' <br /> PROPERTY ADDRESS S3 r3(ua�ie i�- L(�ti-c ��K�'!K'y �+/� Pd <br /> (.Gfi Ovih ce the J� t-& t <br /> 1. <br /> LEGAL DESCRIPTION(see tax receipt) �� f SS rn <br /> m <br /> DWELLING/BUILDING �' GARAGE/ACCESSORY STRUCTURE D5 ADDITION ❑ <br /> TYPE OF PERMIT(S): <br /> Q <br /> FILLING/GRADING ❑ CAMPING UNNIT/ /❑ ElSUBDIVISION a <br /> STRUCTURE/ADDITION USE: Ca d (j' �a--C e �/�!i-1 i G h <br /> (H me abin; Commercial Business; Bedroom; Deck; etc.) (n <br /> v <br /> BUILDING CONTRACTOR: vN <br /> m <br /> m <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. r � `.'`�'6\( T ^ <br /> ."O N <br /> Dl.)St� ONS�Ii�� w <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) /��� Oran(�a�' /2 O 0 -tom � <br /> P n <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. n z <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE <br /> M 9 � <br /> NORTH(N). C o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B) BUILDING(S)TO IT 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. 1 0 <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. t <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 ) <br /> MUST BE SIGNED AND DATED BY THE OWNER. -- <br /> o � <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN o <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. Z <br /> CONDITIONS OF PERMIT: 0 <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 jVQ <br /> PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS. ETC.- ALLOWFn WITHIN THF RFnI nRFn WATER <br /> 5 SETBACK AREA. This structure to be used as private residential <br /> garage/storage only. Not to be used for human ZI W Or- D 0 D O 'O <br /> mCwdnmo :E m <br /> 6. habitation. 0 x 3 o m g m ;a <br /> 'O p (D C <br /> 7. Z yeim0 <br /> O <br /> ID T C m <br /> I declare that this application (including any accompanying scneouie) nas Deen examined by me and to the best of my C <br /> knowledge and belief it is true, correct and complete. I acknowledge that I am responsible for the detail and accuracy of m o <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize O m I I m <br /> that this information 1 am providing will be relied upon by the County of Burnett WiscMwhether to is- cn : 0 <br /> sue a permit. I further accept all liability which may be a result of the e ormationI am d o <br /> providing in this application. I agree to permit county officials ch I nnees of other ° mCD <br /> authorized person to have access to the above described premises s Ime fof inspection. m o <br /> m E D : <br /> SIGN HERE MA2 da ' a <br /> (sig ture of r or building contractor) e) ' o <br /> ZONING ADMINISTRATOR 131 IgNETT COUNTY <br /> ZONING <br /> EA b9 EW W N) N <br /> CJO N (T W W N O <br /> TOWNSHIP PERMITS MAY BE REQUIRED 00 (A C v � M O <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OFySUAN <br /> mi2i led IL� ehr L4 0,S- <br />