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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 /> ^' <br /> N 0 Q <br /> O <br /> CD <br /> OWNER TELEPHONE Cp S - 7 n \\) <br /> .�DI�rJ S�krAmk2Z.t� ?3 b o 9j <br /> ` 1 J <br /> MAILING ADDRESS S1.. PAu,L MAI, S-511-7 r m <br /> PROPERTY ADDRESS a S �t't2 L4-W6 7r2. <br /> LEGAL DESCRIPTION(see tax receipt) t(p I y i-k O Q 19 O 2 1-047 CS M L, P1 01- d M � <br /> DWELLING/BUILDING ❑ GARAGE/ACCESSORY STRUCTURE © ADDITION ❑ r/6V } (n o <br /> TYPE OF PERMIT(S): ' PN - <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION ❑ <br /> CL <br /> STRUCTURE/ADDITION USE: 3 SERSo rl Po it C N / A A l A 0 <br /> (Home/Cabin;Commercial Business;Bedroom; Deck;etc.) U) <br /> $C!G ^ <br /> BUILDING CONTRACTOR: <br /> v <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. m <br /> O y <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) O n <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. n 6 A <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m ( b <br /> NORTH(N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO mv <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. CX <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 -4) <br /> MUST BE SIGNED AND DATED BY THE OWNER. o I <br /> (� -(1 <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VF �"YJPA N C Ln <br /> o <br /> NEEDED. �/ z Q.1 <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. ��� — '7 2003 ° <br /> CONDITIONS OF PERMIT: / r, <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS dP W-AWFrTT COUNTY to I <br /> ISSUANCE. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. p <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY <br /> PERMITTED. <br /> 5. NO STRUCTURES,INCLUDING RETAINING WALLS,ETC., <br /> ALLOWED WITHIN HE RtUIRED WATE/� 1 <br /> ET@ACK ARElj1G�WV/� {� `-�`/ '#/f/4 <br /> m d d o 0 a f m <br /> 6. am xafD <br /> 7. <br /> M <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the best of my �j ' p <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of p m 0 <n C <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize CD m 0 o : M m <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- 1 i <br /> m <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 other <br /> : <br /> authorized person to have access to the above describe m ( <br /> emises at any reasonable time for the purpose of inspection. m o <br /> [� m m <br /> SIGN HERE <br /> (signature caner r builn con to I te) p `. n <br /> c : <br /> ZONING ADMINISTRA <br /> M fA fA � N <br /> N Vt N O <br /> (lO tT O <br /> TOWNSHIP P MITS MAY BE REQUIRED <br />