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61b ev . <br /> Burnett County 7410 Co. Rd. K, No. 102, Siren, WI 54872 Office of Zoning Administrator m m 0 0 <br /> APPLICATION FOR — LAND USE — PERMITS <br /> m o <br /> TO THE ZONING ADMINISTRATOR:The undersigned hereby makes application for a Permit for the work described and a <br /> located as shown herein. The undersigned agrees that all work shall be done in accordance with the requirements of the $ <br /> Burnett County Land Use Ordinance,Sanitation Code, and with all other applicable County Ordinances and the laws and _ <br /> regulations of the Stale of Wisconsin. e m <br /> r g <br /> n o <br /> OWNER r`TONnI 81CICT1lY LCiIIAY TELEPHONE 6i - 45d-(.311 m A <br /> ADDRESS lai , Ocuxxk Vir--rnatR RD rAw wTA 1J y 1 ;wt MA) SS IIS2 0 <br /> EMERGENCY/FIRE NUMBER .37027 ROAD NAME t_onwt LA1ce RiyNQ <br /> LEGAL DESCRIPTION (see tax receipt) LOT Z CSth VA L 1 / Pc 19'7 19/- 44*3bf- dA - 800 <br /> CONTRACTOR MORTUI ALIO% RPCam"ri `MAL M/h1'1 IAit <br /> TYPE OF PERMIT(S): DWELLING/BUILDING GARAGE/ACCESSORY STRUCTURE ADDITION_ o <br /> 0 O <br /> SANITARY PRIVY FILLING/GRADING CAMPING UNIT SUBDIVISION o °< <br /> m � <br /> STRUCTURE/ADDITION USE: 18'X21' tAMal RdoA ID'A Ib' SUEZ%) PeRc1J lok 16 IJEcy' o 0 <br /> v <br /> (Home/Cabin;Commercial Business;Bedroom; Deck;etc.) o <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (Aerial or top view) Pj <br /> 1. Show the location and size of all existing buildings (EB) and all new buildings (NB) and Indicate North (N). <br /> 2. Show the location of the well (W),septic tank (ST),and drainfield (DF). <br /> 3. Show dimensions In feet of the following:(a)building to all lot lines,(b)building to center line of road,(c)building I� <br /> measurement to the ordinary high water mark of lake,stream,or river. <br /> 4. If separate plans are submitted by an architect,engineer,builder,contractor,etc.,the plans must be signed and 'A <br /> dated by the owner. Q o <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED FOR ONSITE VERIFICATION BEFORE A PERMIT CAN BE ISSUED. 11 o v1 <br /> 2 c <br /> LOCI) LRK( — o � <br /> PLOT PLAN Q <br /> m o <br /> aI <br /> 111 � <br /> a <br /> 1 <br /> N <br /> m <br /> n <br /> V o <br /> 47 / IC'N 16 N 18 a9' N <br /> uB <br /> ;V EB �5 <br /> y° o <br /> 34' 14' <br /> E11 <br /> 2. II�JL <br /> I0 7�) z <br /> DF '9' I <br /> LOOM LRVE RbAO _ _ A T Ln £ m <br /> Z. 6Is 0 — <br /> CONDITIONS OF PERMIT: e ? ? T t° � <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT ISSUANCE. <br /> - -- -- --- -- - --- JI N: a <br />