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Burnett County 7410 Co. Rd. K, No. 102,Siren,WI 54872 Office of Zoning Administrator -0 0 Z <br /> APPLICATION FOR LAND USE PERMITS 3. 4� <br /> OWNER r TELEPHONE ,� 7 <br /> MAILINGADDRESS Pe3Caw are Ue (IBJ, St 7 Af S5��� n f <br /> P � <br /> PROPERTY ADDRESS � 93 <br /> LEGAL DESCRIPTION(see tax receipt) 44 y <br /> �0 <br /> DWELLING/BUILDING ❑ GARAGE/ACCESSORY STRUCTURE ❑ ADDITION ❑ <br /> TYPE OF PERMIT(S): �` <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION ❑ C: <br /> ,'� <br /> N <br /> STRUCTURE/ADDMON USE: 'Dn , V v� fIAW$Vlft� 0 <br /> (Home/Cabin; om ercial Busi s; edroom; Deck;etc.) rn <br /> m <br /> BUILDING CONTRACTOR: �O S Sir rLCL(I! ~ <br /> m <br /> 1 <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 6'/:X 11 S T OF PAPER. ANY INCOMPL EOR 3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. Q C <br /> L.LQleQ� � N <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) _ p o <br /> n <br /> -n Z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. n <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m ( <br /> NORTH(N). <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 <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. n1 <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC.,THE PLANS 0 DO <br /> MUST BE SIGNED AND DATED BY THE OWNER. <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFIB►KfM � <br /> NEEDED. <br /> THIS PERMIT CONDITIONS IS SUBJECT <br /> PERMT TO ALL CONDITIONS LISTED BELOW. APR 2 � 2003 � o , of <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PEAWNETT COUNT-y l� <br /> ISSUANCE. ZONING <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 /> / r ,��/� f(^ �� 46' <br /> /J / /� (Yl <br /> 5. iplrr�s'& �f-pp yQ� + vLf(�l(7�/ Pc� —cthCIt:_/I/�btu /�c f7�l/Cp�19�"�`Y'�(p ol7 v r '1. <br /> 6. r VA IAI .'1� n.eck ( l1 C.tL���:5 I I Jyo t� l / 1VW (/1 C-1,� \ "' �.' `-' m r 0 0 n v <br /> !//""'`vvv"WW" ltA` `/9,�/A'{.-/�7'� 3 n m x- a A <br /> 7. was nc Previously dere, Z N (D o =I <br /> z <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the best of my — A <br /> knowledge and belief it is true, correct and complete. I acknowledge that I am responsible for the detail and accuracy of m n in C <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize m o 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 w <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 described premises at any reasonable time for the purpose of inspection. m D s <br /> o : <br /> m m <br /> SIGN HERE <br /> CL <br /> (signature of owner or building contractor) (date) 'gJ <br /> ZONING ADMI TRATOR V <br /> i�157Q3 � <br /> ')M` I <br /> NCI N N <br /> (T O UI U1 <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br />