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Burnett County 7410 Co. Rd. K, No.102, Siren,WI 54872 Office of Zoning Administrator W o 0 <br /> APPLICATION FOR LAND USE PERMITS . <br /> r <br /> vNi O <br /> OWNER P fl J �� S TELEPHONE-7/5- b 8 /.._3 18 3 pCIDm G <br /> MAILING ADDRESS 213414 '" Q k rl ve G n+sbcj r . wl qLA <br /> ( o n � m <br /> PROPERTY ADDRESS D riveCrro ni-Slxa <br /> 1 Secllvn <br /> LEGAL DESCRIPTION(seetax receipt) (SE (ILf UFoic sw 1/1 of 44C NE /,4)TUWl1Shjg 37 NOr -A <br /> DWELLING/BUILDING ® GARAGE/ACCESSORY STRUCTURE ❑ ADDITION ❑ v4'" 1k4nje I o <br /> TYPE OF PERMIT(S): Wes <br /> FILLING/GRADING ® CAMPING UNIT ❑ SUBDIVISION ❑ a <br /> agx�a y <br /> STRUCTUREJADDITIONOSE: ° <br /> ((Home/Cabin Cmercial usiness; Bedroom; Deck; etc.) (n <br /> BUILDING CONTRACTOR: D e S l g n �l i)1 vomm1 � e, y <br /> v <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. ^ <br /> A N <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) ,0n a <br /> �t z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. 0 w jp <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m :° <br /> NORTH(N). N c <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO m 3 <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. t O <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,CQ =MAY <br /> C.,THE PLANS G 01 <br /> MUST BE SIGNED AND DATED BY THE OWNER. 0 <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIF ATI �NEEDED. `USI �+COO} ���VVV I - <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. J V rr V C o -�I <br /> CONDITIONS OF PERMIT: f3UnNE A <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMITZO� �UNTy <br /> ISSUANCE. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. G <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY <br /> PERMITTED. F <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> 5. <br /> N uri 00 m a F m <br /> 6. 3 Cam ,°,. naM <br /> a m C y 0 05 T+ <br /> 7. y m O : �<O <br /> p T,G XI <br /> = rni i i m <br /> I declare that this application (including any accompanying schedule)has been examined by me and to the best of my c C <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of m ° <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize �' m S c M <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin In determining whether to is- <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 o <br /> authorized person to have access to the above described premises at any reasonable time for the purpose of inspection. m c <br /> SIGN HERE <br /> (si tur owner or d g ntractor) (date) a i <br /> �" : <br /> � CCC <br /> ZONING ADMINISTRATOR E <br /> N N re O <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> —7—'j THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br />