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Burnett County 7410 Co.Rd. K,No.102,Siren,WI 54872 Office of Zoning Administrator to o <br /> APPLICATION FOR LAND USE PERMITS . <br /> (nO �J <br /> C moi) <br /> !- C <br /> CD <br /> OWNER r� t ��.�►,� �jl r� / TELEPHONE C 7IS� �3�'02 <br /> MAILINGADDRESS �G/� � ✓ �� S��8G7 <br /> PROPERTY ADDRESS �l//� 46 Y� <br /> LEGAL DESCRIPTION(see tax receipt) CC �;1-00} S Y V S M /_ M— �U <br /> DWELLING/BUILDING 1:1GARAGE/ACCESSORY STRUCTURE I ADDITION ❑ / m C <br /> TYPE OFPERMIT(S): c <br /> FILLING/GRADING <br /> ❑ CAMPING UNIT ❑ SUBDIVISION <br /> 5 ❑ a m <br /> STRUCTURE/ADDITION USE: inn"o 9�- /� /1 a�- 0 <br /> Home/Cabin;Commercial Business; Bedroom; Deck; etc.) w <br /> BUILDING CONTRACTOR: 'c w <br /> v <br /> m <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 81h X 11 SHEET OF PAPER. ANY INCOMPLETE OR 3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. p c. <br /> N <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) 0 a <br /> ?I o z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. m jp <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE <br /> NORTH(N). W o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO Im <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. P <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. 0 1 <br /> MUST BE SIGNED AND DATED BY THE OWNER. o F <br /> v � <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. P O <br /> CONDITIONS OF PERMIT: _ <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT <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 /> SETBACK AREA. <br /> 5. This structure to be used as private residential :0 n r- a v a v v <br /> _S garage/storage only. Not to be used for human m 3 o m a <br /> 6' habitation. y m o 5 <br /> 7. o -n � i m <br /> I declare that this application (including an accompanyingschedule has been examined b me and to the best of m ^ `. D <br /> PP (' 9 Y ) Y Y c>2 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 ; iA <br /> C1 U' : <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize m m o mo <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- ��11 <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 N ` m `• <br /> providing in this application. I agree to permit county officials charged with administering county ordinances or other <br /> authorized person to have access to the above m <br /> e described premises at any reasonable time for the purpose of inspection. -n oCD <br /> , <br /> SIGN HERE An /J / C : <br /> (Sig owner or build n contractor) (date) n <br /> ZONING ADMINISTRATOR <br /> pp <br /> 'A(A fA 1A�N <br /> Ci� (Nti O(Nil CNi1 O o <br /> '( TOWNSHIP PERMITS MAY BE REQUIRED rTO <br /> �'tP" THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br />