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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 w 3. <br /> 0 <br /> TO THE ZONING ADMINISTRATOR: The undersigned hereby makes application for a Permit for the work v <br /> described and located as shown herein. The undersigned agrees that all work shall be done in accor- <br /> dance with the requirements of the Burnett County Land Use Ordinance,Sanitation Code,and with all other <br /> applicable County Ordinances and the laws and regulations of the State of Wisconsin. <br /> (� / p <br /> OWNER 101.1 (1 c is fe e�,J✓� T,ELEPH/O�1(612) S�� I !�y m <br /> HOME ADDRESS /AL1 <br /> {o tO7 /U /� I <br /> EMERGENCY/FIRE NUMBER 1L�, ROAD NAME [q ,<'_A j <br /> f�.T Iu.�✓.//.O{�)/Ki,,, Iy� /� ♦rte ,WW <br /> LEGAL DE6GRIPTION(aee tax rooeipt) L J l/}* le-e-o-r /}-�. _res <br /> CONTRACTOR 0 'a r g en Com'LL�L.N QT'S/ /Oh�L O'Q,•.,+,• . 1 o its <br /> TYPE OF PERMIT(S): DWELLING/BUILDING GA^�E/ACCES ORY STRUCTURE,_ADDITION 0 <br /> N w <br /> O <br /> SANITARY PRIW FILLING/GRADING CAMPING UNIT SUBDIVISION <br /> STRUCTURE/ADDITION USE: <br /> (Home/Ca in;Commercial Business; Bedroom; Deck;etc.) <br /> r <br /> 0 <br /> A PLOT PLAN MUST BE PROVIDED ON A SEPARATE SHEET OF PAPER. ANY INCOMPLETE OR <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. O <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (Aerial or top view) O 3 <br /> -n a y <br /> m o c <br /> 1. All required dimensions or distances to be shown or drawn to scale. <br /> 2. Show the location and size of all existing buildings (EB)and all new buildings (NB)and indicate m y <br /> North (N). m ' <br /> 3. Show dimensions in feet of the following: (a) building(s) to all lot lines, (b) building(s)to centerline of <br /> road, (c) building(s) measurement to the ordinary high water mark(OHWM)of lake, stream or river. r <br /> 4. Show the location of the well (W), septic tank(ST)and drainfield (DF), and all distances to buildings, <br /> roads, lake, lot lines. <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 plans must be c} <br /> signed and dated by the owner. I <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED FOR ONSITE VERIFICATION BE- <br /> FORE A PERMIT CAN BE ISSUED. <br /> 0 <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. <br /> CONDITIONS OF PERMIT: g <br /> n <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 9 <br /> PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN 75 FEET OF THE <br /> OHWM OF LAKES, PONDS, RIVER UNLESS SPECIFICALLY PERMITTED. <br /> 5. <br /> f <br /> 6. <br /> (. rnvrnrD DOm <br /> 7. �a ' nm °a £ <br /> . m M <br /> O O a <br /> N O <br /> 2i <br /> Z Fes ; �!y ; M <br /> 8. ' ? . m <br />