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Burnett County 7410 Co.Rd. K,No.102,Siren,W154872 Office of Zoning Administrator - o° o <br /> APPLICATION FOR LAND USE PERMITS <br /> y O <br /> ur <br /> M c <br /> _ P S tD art f' 1! 't t 111 �1 7 a o <br /> OWNER �_ 5 TELEPHONE G 5 � w <br /> ^/ m O <br /> MAILING ADDRESS 15 b 3 �U �vv\a c 5 Nr !Or.s� L,k r MN 5 S�o 2S� F <br /> CD <br /> Cc }"e�r # 031-l- lS 2-7 -()/77-30 1 ) �r <br /> `'pROPF f� fU0r7h � I�Gr4e <br /> hi We5f, lot,,. n -t TrJ, �,aHe 1 <br /> L o} CSM 0olur" L 1b/ age 191 r>1 p <br /> LEGAL DESCRIPTION(see tax receipt) qQ Jern r eA [.e jL 8 , Sec l i u n 2 To vAsA-p 37 C <br /> DWELLING/BUILDING ❑ GARAGE/ACCESSORY STRUCTURE ❑ ADDITION ❑ (n <br /> TYPE OF PERMIT(S): a - <br /> FILLING/GRADING ❑ CAMPING UNIT K SUBDIVISION ❑ <br /> 11 1• N <br /> STRUCTURE/ADDITION USE: S }a r5 d 0 W n I 1 o p L <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) C <br /> BUILDING CONTRACTOR: IJl'1�e S E�I�Gn a /`I(A 69 '-N � ` ' <br /> v <br /> m <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR m � <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. O <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) O n <br /> T <br /> ?t o z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. m� o <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE <br /> r- 0 <br /> NORTH 0 <br /> 3. SHOW DIMENSIONSIN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO m <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. ° <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 Off�}}FI L N <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER,BUILDER,CONTWA LANS ?. <br /> MUST BE SIGNED AND DATED BY THE OWNER. f o <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICA�ON MAY BE DONE WRElVr � <br /> NEEDED. +Q.V <br /> n ', e <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. RV - c004 o V <br /> CONDITIONS OF PERMIT: RNE7T Co <br /> Wry ' (� <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT ZONING <br /> ISSUANCE. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. V' (AI <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY {/� cy <br /> PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> 5. <br /> D m Dt7 M <br /> fm <br /> 6. m a mU., 70 <br /> C y 5.Z iD O : O <br /> 7. O TIS : <br /> _rn i m: M <br /> I declare at this application(including any accompanying schedule) has been examined by me and to the best of my } c C <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of (N E w O ; (A: <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize m C : O <br /> CD <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 hW access to the above described premises at any reasonable time for the purpose of inspection. m <br /> m <br /> 0 : <br /> �2 n3 <br /> SIGN HERE 2°`— <br /> E <br /> ( NO(1tN00 gn ure of ow r building contractor) (date) n <br /> ZONING ADMINISTRATOR <br /> N OI N N O O <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br />