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Burnett County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator -0 0 0 <br /> APPLICATION FOR LAND USE PERMITS 3 <br /> r <br /> y O <br /> OWNER LEPHONE <br /> / m <br /> MAILING ADDRESS �! 7.—�fl�,/ _Way oa"a f� Mvi t�!z � o O <br /> � Y ICY 1 1, 1 = <br /> CD <br /> PROPERTYADDRESS � �� Ges 6��r^, <br /> a <br /> LEGAL DESCRIPTION(see tax receipt) Ke a y <br /> m <br /> DWELLING/BUILDING LJ GARAGE/ACCESSORY STRUCTURE ADDITION q o <br /> TYPE OF PERMIT(S): <br /> FG DING CAMPING UNIT ❑ SUBDIVISION ❑ f <br /> a <br /> rn i♦19 <br /> STRUCTURE/ADDITIONUSE: ie r-r-- p <br /> (Home/cabin,Commercial Business;Bedroom;Deck;etc.) I for <br /> m <br /> BUILDING CONTRACTOR: redi; <br /> =- <br /> v <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR CD3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. 3 <br /> it N <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) O � <br /> TI �- <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). C <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO m e�v <br /> CENTERLINE OF ROAD, (C)BUILDING(S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF v \Z <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 <br /> BUILDINGS, ROADS, LAKE, LOT LINES. 1 <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC., THE PLANSo <br /> MUST BE SIGNED AND DATED BY THE OWNER. 5 t <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFIC Y l� <br /> NEEDED. V�u w <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. JuH _ J o C <br /> CONDITIONS OF PERMIT: C <br /> 1 DRIVEWAY <br /> E.MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERI( RI`erISSUANr cdUnl I D <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. ZONING � ` <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 <br /> SETBACK AREA. n L-/ <br /> 5. ICPiI�GJ�/IGO4�Cee /�U/ o-! tt/s /G,(t &x& <br /> ,�/���' RY11cT� /C'r`l6� <br /> 6. � FirLSe�Yt bd(it-'&"', leoce� J�'�G CD 3 r o �v a O v <br /> �gWag ,( = ooacD <br /> fm <br /> 7. m C y o = 3 <br /> oy ,a <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the best of my — A <br /> c : <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of C <br /> m n : v, <br /> all information contained in this application(including any accompanying schedule)and 1 further declare that I recognize m o m <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- m t7 <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 <br /> providing in this application. I agree to permit county officials charged with administering county ordinances or other <br /> authorized persc have access to the above described premises at any reasonable time for the purpose of inspection. m <br /> -n o <br /> ip m <br /> SIGN HERE <br /> (signature o wner or builds ont or) date) o. <br /> 1 <br /> ZONING ADMINISTRATOR Q <br /> s <br /> . . r) <br /> fA fN <br /> r)EA <br /> N <br /> N N O O <br /> [T O (lN O O <br /> TOWNSHIP P RMITS MAY BE REQUIRED <br />