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Burnett County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator M 0 0 <br /> APPLICATION FOR LAND USE PERMITS 3 <br /> ^ r <br /> (/ 0 <br /> N <br /> C ^ <br /> N ��1 <br /> OWNER M:IL£ + CvfZ"( Llnta4 c=ret- TELEPHONE a-t <br /> d W <br /> MAILINGADDRESS 48jS" 3l r)-A &-a- 5 ' t+Pc.S. / ,Hek . gs¢1 ' 0 <br /> PROPERTY ADDRESS 7A •ta( F2E"5T-Co Qp.. <br /> LEGAL DESCRIPTION(see tax receipt) W N <br /> T. <br /> 2 <br /> DWELLING/BUILDING ❑ GARAGE/ACCESSORY STRUCTUREADDITION Elc�o <br /> TYPE OF PERMIT(S): � <br /> 1:1 CAMPING ❑ _s�(O-3t- Ohly <br /> FILLING/GRADING CAMPING UNIT SUBDIVISION <br /> STRUCTURE/ADDITION USE: <br /> 1�ct't{r a..4' �j420�7v C�EtC��LY��DI o <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) "r- N <br /> m <br /> BUILDING CONTRACTOR: SLc^-F- <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 81/X 11 SHEET OF PAPER. ANY INCOMPLETE ORS� <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. 'rl 3 <br /> O - <br /> DIRECTIONS FOR PLOT FLAN DRAWING' (AERIAL OR TOP VIEW) O � <br /> T a <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. CT-1 Z <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m �? A <br /> NORTH(N). C 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 a <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. <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED, k? N <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER,BUILDER,CONTRACTOR, ETC.,THE PLANS <br /> MUST BE SIGNED AND DATED BY THE OWNER. <br /> o <br /> o <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN <br /> NEEDED. o <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. Z O <br /> CONDITIONS OF PERMIT: ` <br /> 1 <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT c0 O <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. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WAILS. FTC Al OWFD WITHIN THF RFOI IIRFn WATFR <br /> 5 SETBACK AREA. This structure to be used as private residential <br /> garage/storage only. Not to be used for human A d O r D O D OV <br /> 6. habitation. x 3 n m x ? a <br /> 'o p m C y y 0 <br /> 7. Z c y '- 0 i - .0 <br /> I declare that this application (including any accompanying scnedule) nes been examined by me and to the best of my I D <br /> knowledge and belief it is true, correct and complete. I acknowledge that I am responsible for the detail and accuracy of [ w n ': N : C <br /> all information contained in this application(Including any accompanying schedule)and I further declare that I recognize m$ [ m <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- m in <br /> 47i s : <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 m : o <br /> providing in this application. I agree to permit county officials charged with admini t � iD <br /> authorized person to have access to the above described premises at any r t m i mi <br /> I <br /> SIGN HERE ^ �J Q a <br /> Ig tura of ow r building contractor) at 3 0' : <br /> O <br /> ZONING ADMINISTRATOR <br /> L1 U <br /> O N b 6 N O <br /> TOWNSHIP PERMITS MAY BE REQ11AWOEW n n o <br /> THIS PERMIT SHALL EXPIRE ONE YAR FROM DAT O?F9CE RNETT C UNTY <br /> mT4lef{ei /hR>Leq m, �hd���` _ /a-ol-� ZONING <br />