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Burnett County 7410 Co. Rd. K, No. 102, Siren,WI 54872Ofte of ning Ad ) <br /> APPLICATION FOR LAND USE PERMITS Administrator 3 <br /> w <br /> OWNER Barbara G. Caruso TELEPHONE1 C) <br /> 708 352 0528 0 <br /> HOMEADDRESS 718 S. Spring Avenue, La Grange, IL 60525 211' <br /> EMERGENCY/FIRE NUMBER ROAD NAME mhomp son <br /> 101B 474/13 558/142 CEJ v.J <br /> LEGAL DESCRIPTION(see tax receipt) S36/T40/R15W Acres 1. 120 2-40-15-36-9 02800 <br /> N <br /> O r r c 1L <br /> TYPE OF PERMIT(S): DWELLING/BUILDING X GARAGE/ACCESSORY STRUCTURE ADDITION c 9 <br /> a -1 <br /> SANITARY PRIVY FILLING/GRADING S. <br /> CAMPING UNIT SUBDIVISION o' <br /> STRUCTURE/ADDITION USE: mc <br /> 6f <br /> (Home/Cabin;Commercial Business; Bedroom;Deck;etc.) 'a � <br /> A PLOT PLAN MUST BE PROVIDED ON A SEPARATE SHEET OF PAPER. ANY INCOMPLETE OR it <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. m 3 <br /> DIRECTIONS FOR P OT PLAN DWIN (AERIAL OR TOP VIEW) 0 c °i <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. <br /> 16 <br /> Z <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE mo <br /> 9 <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 /> Y HIGH WATER MARK(OHWM)OF LAKE, <br /> CENTERLINE OF ROAD, (C)BUILDING(S)MEASUREMENT TO THE ORDINARY <br /> STREAM OR RIVER. c <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES TO BUILD5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. N <br /> - _ <br /> INGS,ROADS, LAKE, LOT LINES. <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER, BUILDER, CONTRACTOR, TC.,THE PLANS 0 <br /> MUST BE SIGNED AND DATED BY THE OWNER. c <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED FOR ONSITE VERIFICATION BEFORE A PERMIT CAN BE 0 <br /> ISSUED. 0 <br /> Cr <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. Z n. I <br /> CONDITIONS OF PERMIT: o <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. I Afl� <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY <br /> PERMITTED. O <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS ETC.,ALLOWED WITHIN 75 FEET OF THE OH <br /> 5. WM OF LAKES, <br /> PONDS, RIVER UNLESS SPECIFICALLY PERMITTED. <br /> 6. � aflaal- �� rp� � 0r 0017 <br /> 3 M <br /> 7. SV�s l/e✓Ir t'GP ( (/9 / %//ee�.�y //�, / l UG" ° N m i �q 3 <br /> I declare that this application (including any accompanying schedule) has been examined — 0) M <br /> y me and to the best of my C m <br /> knowledge and belief it is true, correct and complete. I acknowledge that I am responsible for the detail and accuracy of m I C <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize rn m <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is G3 <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 p1 <br /> providing in this application. I agree to permit county officials charged with administering county ordinances or other : flb <br /> ° <br /> authorized person to have access to the above described premises at an reasonable ti f° <br /> y ur ose of inspection. CD <br /> , <br /> SIGN HERE r/ m •' <br /> �E � h <br /> (signature of ow or bul n or) ` <br /> (date) �t <br /> ZONING ADMINISTRATOR <br /> • •nwwww U1 <br /> N N 0 N N CA M 01 0 <br /> WNSHIP PERMITS MAY BE REQUIRE --' 0 0 0 0 0 0 <br /> 0000000 <br />