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Burnett County 7410 Co. Rd.K, No. 102, Siren,WI 54872 Office of Zoning Administrator v G) Z <br /> APPLICATION FOR LAND USE PERMITS 3 <br /> r <br /> H <br /> C <br /> �7 /� <br /> OWNER (/ '`S L , G/L/�� TELEPHONEl�/" <br /> H m_ <br /> MAILING ADDRESS � `.�� (`N / S� f C. m iNt y SS 6 3 3 � � <br /> PROPERTY ADDRESS IV oQ� <br /> LEGAL DESCRIPTION(see tax receipt) C Zir, `L WI L.jaKE P.,AYE S ZO/ orj <br /> CD2 <br /> DWELLING/BUILDING ❑ GARAGE/ACCESSORY STRUCTURE ADDITION ❑ CO 0 <br /> TYPE OF PERMIT(S): <br /> FILLING/GRADING ❑ CAMPING UNIT °' <br /> ❑ SUBDIVISION El <br /> STRUCTUREIADDITION USE: ' �'7C� �t0 1� � 0 )CJ <br /> ome/Cabin; Commercial Business,Bedroom;Deck;etc.) rn <br /> m <br /> BUILDING CONTRACTOR: <br /> M <br /> m <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR 3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. 0 N <br /> IZI H <br /> DIRECTIONS FOR PLOT PLAN DRAWIN (AERIAL OR TOP VIEW) p o <br /> T 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 /> 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 O <br /> BUILDINGS, ROADS,LAKE, LOT LINES. <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 0 <br /> MUST BE SIGNED AND DATED BY THE OWNER. o r� <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFIC ,t) /Bg a o <br /> NEEDED. � <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. tI 9l Z 1 <br /> CONDITIONS OF PERMIT: S w� ` p <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PER <br /> ISSUANCE. <br /> �RNE73 <br /> i <br /> 3. NO GRADING OR SHOIRELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY 2. REMOVAL OR CUTTNG OF TREES AND VEGETATIOIS RESTRICTED ALONG LINE. ZONING�NN <br /> PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBAC AREA. <br /> 5&t S1 <br /> m <br /> onidrDic�oa0 � <br /> 6. This structure to be used as private residential $ 3 a m x a m m <br /> garage/stora7. ge only. Not to be used for humanz N '01 <br /> ° <br /> habitation. o <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the best of my — r^ p <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of 'nc Cm o ; v+ <br /> PP (including Yaccompanying ) g a ` : M <br /> all information contained in this application Includin an schedule and I further declare that 1 recognize C o : mo <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 Irther 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 ounty officials charged with administering county ordinances or other <br /> authorized erso t to have access t the abo scribed premises at any reasonable time for the purpose of Inspection. ° o <br /> SIGN HERE <br /> (si n e of owner or build{ ontractor) (date) n 1 <br /> 7CJ <br /> ZONING AD INISTRATOR <br /> EA d/'/fE/R'�•j9�9 N <br /> r� N(IyIN O O <br /> V (nycn� oo <br /> OWNSHIP PERMITS MAY BE REQUIRED — O <br />