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Burnett County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator - o 0 <br /> APPLICATION FOR LAND USE PERMITS 3. <br /> r <br /> L .1� n �1 f7 / 4 <br /> OWNER O b B h C. T EDij'I)_. A, 8W-5 TELEPHONE 6/.'Z.- L"5„Z_-7708 0 <br /> J� m <br /> MAILING ADDRESS 51- Hfj/VI 64,4 D 7- <br /> ,4 V A) -A, /y^/ STI <br /> m <br /> /� r <br /> PROPERTYADDRESS 2 9 9 1 - ��A')/8�,RAY O o 6 <br /> 6 2�2 � It— <br /> LEGAL <br /> DESCRIPTION(see tax receipt) 8S q57/22Z n cn <br /> V.J m <br /> DWELLING/BUILDING 11GARAGE/ACC SORY STRUCTURE JLC I ADDITION I_Il_ I to 0 <br /> TYPE OF PERMIT(S): <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION ❑ o- <br /> �j� <br /> STRUCTURE/ADDITIONOSE: cJ / r/� �CT E /� ��� f3 L O G � <br /> u <br /> (Home/Cabin;Commercial Business;Bedroom; Deck;etc.) cn <br /> BUILDING CONTRACTOR: C n R Z /J Gf�D>�RS M C N' m <br /> v <br /> m <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 /> x N <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) 0 a <br /> m 2 <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. A A <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m m <br /> NORTH(N). <br /> fn �o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO m o <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. 9 <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 /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. 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 /> o D <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN o <br /> NEEDED. 2 <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. Z <br /> 0 <br /> CONDITIONS OF PERMIT: p�\ <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT 0 1 <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 WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER p <br /> SETBACK AREA. I►J <br /> 5' _ This structure to be used as private residential X n r a v a v v <br /> 6. garage/storage only. Not to be used for human 8 3 a O a D A <br /> habitation. z (Dm7. ° y 3 <br /> o m42 <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the best of my �j A <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of i'u 0 in <br /> all information contained in this application(including any accompanying schedule)and I 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- <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 o <br /> authorized person to have access to the above described premises at iny r or the purpose of inspection. fD <br /> CD <br /> o : <br /> CD CD <br /> SIGN HERE 067-�� <br /> o : <br /> (signet of owner or building c lcc/tto/r) n (date) , <br /> ZONING ADMINISTRATOR �/ / 5 LOO <br /> �fA ER(A N <br /> 1 /�� l N (TNNOO <br /> TOWNSHIP PERMITS MAYBUMB IITl MUNTY COt- r �GJ T O T T O O <br /> ZONING �Z Z <br /> v,.cs� <br />