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Burnett County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator -a 0 z <br /> APPLICATION FOR LAND USE PERMITS 3 <br /> T � � <br /> OWNER ?VVE L. TELEPHONE J�J_ S6 -3 3502 0 ,J <br /> HOME ADDRESS `785�j oaK S`T, DAN 6uRY, W1 ,5 yg p .. (� 0 <br /> r m <br /> EMERGENCY/FIRE NUMBER -7 8 5 Q ROAD NAME C (}�HK S'T'i -' 1 0 <br /> W 600 of Gov LOT g LyG S of LN 1288' N 5E COR Tµ N &.70 <br /> GJ <br /> LEGAL DESCRIPTION (see tax receipt)SS+� W l'jZo' To W LN 1810 N of SW Cc�N 0) <br /> m <br /> DWELLING/BUILDING ❑ GARAGE/ACCESSORY STRUCTURE X ADDITION ❑ PRIVY ❑ Cn 0-- <br /> TYPE OF PERMIT(S): <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION ❑ a <br /> 5. <br /> STRUCTURE/ADDITION USE: ISE C K G X Ph IU S to N o <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) C <br /> BUILDING CONTRACTOR: O W <br /> v <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. "n — <br /> O n <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) p CD <br /> n n <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. m o <br /> Z <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE <br /> NORTH(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 Z <br /> LAKE,STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. 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. <br /> S. 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 PLANS W <br /> MUST BE SIGNED AND DATED BY THE OWNER. o <br /> o � <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN <br /> NEEDED. Qr <br /> r k3lj <br /> 0 � <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. oO <br /> CONDITIONS OF PERMIT: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT <br /> ISSUANCE. ( �O> <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. Op ) <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY Q <br /> PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER Q <br /> SETBACK AREA. dl <br /> 5. <br /> v n r O q <br /> 6. m � D3nyyy ;a• m C m . 0 > 3 <br /> o M <br /> 1 declare that this application (including an accompany! u eI <br /> me and to the best of my ij c p <br /> PP ( 9 Y ) y <br /> knowledge and belief it is true,correct and complete. I a r the detail and accuracy of m c <br /> all information contained in this application(including accompanying scheCL <br /> dulert <br /> declare that I recognize I m <br /> that this information I am providing will be relied upon he Co f ur a Vyidetermining whether to is- p <br /> sue a permit. I further accept all liability which may be suit 0XV3 �jr ng on this information I am m <br /> providing in this application. I agree to permit county, o ials charged with admiounty ordinances or other Q m <br /> authorized person t ave access to a ve described p r the purpose of inspection. m <br /> CD : <br /> ZONING <br /> —1S-�ob m <br /> SIGN HERE .5 <br /> (sl n-afijoown or bulldi co tractor) (date) <br /> ZONING ADMINISTRATOR <br /> N N V1 N VI V100 Nn PP <br /> n IT [TO <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br />