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Burnett County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator v 0Z <br /> APPLICATION FOR LAND USE PERMITS 3 ° <br /> CC Q / _ <br /> OWNER GLS P ^2 C / <br /> C�J �o o J, <br /> MAILING ADDRESS P O , 3 S ' l� 0 <br /> r � <br /> 0 <br /> PROPERTY ADDRESS <br /> 1&4DP <br /> LEGAL DESCRIPTION(see tax receipt) ,L6 T3 bcte-' ( -rava 5, p , <br /> 1� <br /> DWELLING/BUILDING GARAGE/ACCESSORY STRUCTURE ❑ ADDITION ❑ ) o fi <br /> TYPE OF PERMIT(S): <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION ❑ a <br /> STRUCTURE/ADDITIONUSE: C' 71'1 I��� �i a()(JG� <br /> (Home/Cabin;Commercial Business; Bed oom; Deck;etc.) rn GO <br /> t' d , <br /> BUILDING CONTRACTOR: � C 1--E'U (—T�� — <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. m - <br /> O <br /> 0 m <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) O <br /> a <br /> 1. <br /> � Z <br /> 2. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. 5 A <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m <br /> NORTH(N). Com--- <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. 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. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. <br /> :0'a <br /> W <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC., THE PLANS 9„}MUST BE SIGNED AND DATED BY THE OWNER. o I <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN o v <br /> NEEDED. � <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. z <br /> CONDITIONS OF PERMIT: ° <br /> t <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT ) <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 <br /> SETBACK AREA. p <br /> 5. 5an,>wY 515.60& - /S undevsl;eo /e„e[I„y 4u^110,Ey of PWA-- 5ew4v in newt zy <br /> 6. 3�Sf.frr naay /2mew.t /H 5ew4Ce, 1f fI'IC5y6it rx IS/ Aori /�/i�/C SEww et not Auaf c��ti m m m 0 M 0 <br /> !6 rnv d ba a Iccs� �O s a m x . <br /> t / P wtG'k w cede Cawpltw �' /YluzJe aksKYe wxs6et✓Aev Eye"LW-4i 5{/stw = <br /> 7. G/� Z N N O N t0 <br /> O TSG : <br /> I declare that this application (Including any accompanying schedule) has been examined by me and to the best of my — Cn ' p <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of d c v, C <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize m E o m <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is `e C <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 char t r ances or other m <br /> authorized person to have access to the above described premises a ona N e of inspection. Cn <br /> m o : <br /> SIGN HERIQ)j <br /> (signature of owner or building contra or) I AU } e) O <br /> n : <br /> ZONING ADMINISTRATOR V f ei 1 <br /> BURNETT COUN y (� N <br /> \ O O N [T O O <br /> TOWNSHIP PERMITS MAY BE REQUI040INC-' fl/" <br />