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Burnett County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator -0 o° o <br /> APPLICATION FOR LAND USE PERMITS 3 <br /> r <br /> fll <br /> \ \ f�"7�i C <br /> e—r TELEPHONE /S, 7S �" ! CJ p <br /> m <br /> / O <br /> MAILINGADDRESS y 75�� /¢✓ e �r>�� 5�' f v` (D <br /> PROPERTYADDRESS �� T�G{ ^ QYL/td a, 1c2 L�K Tt 1�L I C)3 <br /> LEGAL DESCRIPTION(see tax receipt) ljJ <br /> DWELLINGIBUILDING GARAGE/ACCESSORY STRUCTURE ❑ ADDITION ❑ <br /> c <br /> TYPE OF PERMIT(S): Q <br /> FILLING/GR DING ❑ CAMPING UNIT ❑ SUBDIVISION ❑ a <br /> m <br /> o j <br /> STRUCTURE/ADDITION USE: <br /> (Home/Cabin; Commercial Business; Bedroom; Deck, etc.) <br /> BUILDING CONTRACTOR: �~ <br /> m <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR -n 3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. 0 <br /> -ib N <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) n n <br /> -n o \ .Z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. m <br /> 2 .SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS (EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m o <br /> NORTH(N). Ci <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B) BUILDING(S)TO m 7 <br /> CENTERLINE OF ROAD,(C)BUILDING(S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF a o <br /> LAKE, STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. <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. f� <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. N Y� <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER,CONTRACTOR, ETC.,THE PLANS 2. o <br /> MUST BE SIGNED AND DATED BY THE OWNER. <br /> J <br /> NOTE: BUILDINGISTRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN ° Q <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. P �^ <br /> CONDITIONS OF PERMIT: <br /> i <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. W <br /> 4. NO STRUCTURES, INCLUDING RETAIL•"A'^`A'A" c CTr Al 1 nXAfr A/ITNIAI TNF RFnI IIRFfI WATFR <br /> SETBACK AREA. This structure to be used as private residential <br /> 5. garage/storage only. Not to be used for human X �o d r D 0 D 0 m <br /> N 0 CDC <br /> � ang � n � x <br /> 6 habitation. 00 � o � 3 <br /> co <br /> 7. o 0 m <br /> = v �„ A <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the Dest of my J 2 C <br /> knowledge and belief it is true, correct and complete. I acknowledge that 1 am responsible for the detail and accuracy of n <br /> all information contained in this application(including any accompanying schedule)and 1 further declare that I recognize m <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- COo <br /> sue a permit. 1 further accept all liability which may be a result of the County of Burnett relying on this information I am <br /> providing in this application. 1 agree to permit county officials charged with administering county ordinances or other n w <br /> CD <br /> authorized person toss access to the above described premises at any reasonable time for the purpose of inspection. T_Oaa <br /> ? r m a <br /> <A <br /> SIGN HERE <br /> a <br /> (sig atu(ree o-f�owner or buirding contractor) (date) <br /> ZONING ADMINISTRATOR �I' , r Flan/ K <br /> Cvj( <br /> O N VI W W N <br /> O� CT Ut <br /> TOWNSHIP PERMITS MAY BE REQUIRED C' <br /> THIS PERMIT SH L EXPIRB ON Y R O��-Wr I 3c C)S.by <br />