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Burnett County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator -1 o 0 <br /> APPLICATION FOR LAND USE PERMITS 3. <br /> y O <br /> OWNER 414AII&L L. MC161C TELEPHONE 1p ��- e7lS/^(pC�J 77 n <br /> p <br /> � �/ CIZC�EA/ /�ii so ,C't�A�E �40Ile � <br /> MAILING ADDRESS � <br /> � o <br /> PROPERTYADDRESS `L7 31oi LD1 pq !� R r) w eI ,sr6k wZ. -54843 <br /> LEGAL DESCRIPTION(see tax receipt) OZO q O ZS O 3Ob 5?�(�/ TS�OrR ��+�+ Z y0 -ic, I <br /> DWELLING/BUILDING ® GARAGE/ACCESSORY STRUCTURE ❑ ADDITION ❑ m 0 <br /> TYPE OF PERMIT(S): <br /> /1-075'0/300 Cr <br /> FILLIN GRADING 1:1 CAMPING UNIT ❑ SUBDIVISION F] 60.-.1-40 LAS!` /Q/� a <br /> p Amin On6 Lot 3 = <br /> STRUCTURE/ADDITION USE: . 'Tf�„ft's=n ICG I� B /Y �04 C-'`%1 r-4 ° <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) rn <br /> m <br /> SGL G <br /> BUILDING CONTRACTOR: 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. T <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) O o <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. A m A <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m m fo <br /> NORTH(N). y o <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 /> Z <br /> LAKE, STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. <br /> 0 <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. O <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. N 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 \ <br /> 0 <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN o "p <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. Z ^ Q -t ) <br /> CONDITIONS OF PERMIT: o (\ O <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT l/1 <br /> ISSUANCE. �1�1 <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 p <br /> SETBACK AREA. T <br /> 5. <br /> X W0r D0D0 � <br /> n � 9 ° o a <br /> f m <br /> 6. m � 'o ° A <br /> o c <br /> 7. o mm �t0 <br /> I declare that this application (including an accompanyingschedule has been examined b me and to the best of m - A <br /> pP ( 9 Y ) Y Y � mac : c <br /> knowledge and belief it is true, correct and complete. 1 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 i v <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- D rn <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 ` m o <br /> providing in this application. I agree to permit county officials charged with administering county ordinances or other <br /> authorized person t ave access t the abSIve desqibed premises at any reasonable time for the purpose of inspection. fID o <br /> m <br /> CD a ? <br /> SIGN HERE - a <br /> ign ure of Qwrtor or building contractor) I t o <br /> 0 <br /> ZONING ADMINISTRATORjI111 <br /> ^ <br /> UN <br /> tOo Fn�n <br /> di fR Eli EA N <br /> O N Ut W W N O <br /> U� O CT (11 CJi O <br /> TOWNSHIP PERMITS MAY BE REQUIRED Rq1l11RR TT COUNTY <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSQAN <br />