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Burnett County 7410 Co. Rd. K, No. 102, Siren,W154872 Office of Zoning Administrator 0 W <br /> APPLICATION FOR LAND USE PERMITS 3. <br /> r <br /> y � <br /> N <br /> OWNER TELEPFIONE o. <br /> O <br /> / m <br /> MAILINGADDRESS SZ(��f `D-� 5'�'� Jl'(r[�7J0 v 0 <br /> �" X70 r <br /> PROPERTYADDRESS �Q�6j� 7�b5µhW Eb DgjUg>Lj(ug W1 30 ( o <br /> LEGAL DESCRIPTION(see tax receipt) - <br /> m <br /> I� A <br /> DWELLING/BUILDING ❑ GARAGE/ACCESSORY STRUCTURE ❑ ADDITION Ldp o <br /> TYPE OF PERMIT(S): c � <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION ❑ a <br /> STRUCTURE/ADDITION USE: SU Al R.�OM OA) DECK, 0 <br /> Lam• '{V n (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) <br /> L <br /> BUILDING CONTRACTOR: G S-ru ��Si2. I(LAN LO/ <br /> v <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 81A X 11 SHEET OF PAPER. ANY INCOMPLETE OR 3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. m - <br /> H <br /> DIRECTIONS FOR PLOT PLAN D 0 WING' (AERIAL OR TOP VIEW) -n <br /> T a <br /> T Z <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 1D. <br /> NORTH(N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)70 ALL LOT LINES,(B)BUILDINGS)70 m I Il 3 <br /> CENTERLINE OF ROAD,(C) BUILDING(S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF v 1 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. g <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 I <br /> MUST BE SIGNED AND DATED BY THE OWNER. o <br /> o <br /> NOTE: BUILDINGISTRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN q <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. o <br /> CONDITIONS OF PERMIT: . <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. <br /> 5. <br /> 71 m O r D O D O -0 <br /> 6. <br /> m c m m n m a f m <br /> 9 n > > n n n <br /> N F 6 N F ' M -A <br /> 0 o053 <br /> 7. Z CB � o <br /> rI m <br /> I declare that this application (including an accompanyingschedule has been examined b me and to the best of my <br /> PP ( 9 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 io n [ �" <br /> all information contained in this application(including any accompanying schedule)and 1 further declare that I recognize m m <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining <br /> �flLwhether to is- <br /> sue i permit. I further accept all liability which may county <br /> o result of the Coun ��y tion I am m [ o <br /> providing in this application. I agree to permit county officials charged I i I c u o�I a or other ' : m <br /> authorized person t e acce he ab ve described premises at any a rpose o IIN peetion. ' m <br /> m a : <br /> D ; <br /> SIGN HERE 7j <br /> (sig tur of owner u'ding contractor) f (date) <br /> ZONING AD MINISTRATOR Lgi iBNFTT COUNTY ; ; <br /> /50& ZONING O o N o N o <br /> oZ(0 7�1 TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT HALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br /> rrnu� + 1� maned � eogs-fr�,�r) ansf l0-q-0(0 <br />