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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 . <br /> to O <br /> m <br /> J <br /> OWNER ,5�h Lt N CL, L)eA/L�,�n e r TELEPHONE <br /> w P <br /> t7 A) / ' ,J m <br /> MAILING ADDRESS CO 909 IJ 7�� 5�" /Y , Wk) �t bdccr ' kez/Se � fn N ,<S//0 O <br /> i 0 <br /> I5- <br /> PROPERTY ADDRESS JLIke. �ebS�P�!' . lt/1 C <br /> LEGAL DESCRIPTION(see tax receipt) 0a0 C7/70 O a �4400 • <br /> CD <br /> DWELLING/BUILDING ❑ GARAGE/ACCESSORY STRUCTURE ❑ ADDITION ❑ m <br /> TYPE OF PERMIT(S): c <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION q <br /> STRUCTURE/ADDITIONUSE: aG/\"d4ukvf�� � as <br /> �� ,V70 (Home/Cm <br /> abin;Commercial Business; Bedroom; Deck;etc.) <br /> BUILDING CONTRACTOR: /f e I-,Ii'A (?Y'GLhet- z <br /> -i <br /> m <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR T <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. <br /> 30 <br /> y a , <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) 0 o <br /> "n Z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. A w j0 <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE C D p O <br /> NORTH(N). to 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 Z <br /> LAKE,STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. JQ 0 <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES TO 1 <br /> BUILDINGS,ROADS, LAKE, LOT LINES. Do <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. I <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER,BUILDER,CONTRACTOR, ETC.,THE PLANS _ -4 Qy <br /> MUST BE SIGNED AND DATED BY THE OWNER. F G <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE V Y BE DONE WHEN <br /> NEEDED. nn ` <br /> QATHIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. �M1ti G <br /> CONDITIONS OF PERMIT: APR <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAY%PERMIT- �ffpp <br /> Cl- <br /> ISSUANCE. R/�/ <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHO L <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICAL "Q� <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIR D WAT#jr �s <br /> l7SETBACKAREA., CW V W' —' ,�-X�✓� Ja . V J <br /> 5. y 1 n VZ6. 0im <br /> m C <br /> 7. Z N m O O <br /> o �� m <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 � C <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of v 0 <br /> PP (including Yaccompanying ) g n ~ <br /> all information contained in this application mcludin an schedule and I further declare that I recognize � m ; 0 <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- a <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 w <br /> providing in this application. I agree to permit county officials charged with administering county ordinances or other o <br /> authorized person to have access to the above described premises at any reasonable time for the purpose of inspection. m <br /> n <br /> CD : m <br /> SIGN HERE 23-o 54 d' <br /> (sign of owner or build[ g contractor) (date) o_ <br /> ZONING ADMINISTRATOR 1A :5: <br /> A . <br /> 1 to q- N <br /> TOWNSHIP PERMITS MAY BE REQUIRED �� ro o <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANC J <br />