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Burnett County 7410 Co. Rd.K, No. 102, Siren,WI 54872 Office of Zoning Administrator -0 c) Z <br /> APPLICATION FOR LAND USE PERMITS 3. <br /> r <br /> UT 0 v <br /> N <br /> OWNER CA a t-O f Cprse- / _C-Q%oL <br /> MAILING ADDRESS 9 'j f�8 PlL�s/Z✓L�/(L -rrt . Lrefrr�v;UK 7Tr. ,,.� 12 mac- 0 <br /> { r' m <br /> PROPERTY ADDRESS ,Lp�`S GOV N �- ffl rr9�' ��� \ o <br /> 2^ 3$-1Y-2V-o oySao Qa lrov c.o?'- 2. <br /> LEGAL DESCRIPTION(see tax receipt)�� A -!-f �f 9 7�Z 33 Sl 2�4�91s Z(,/r3iP�R 1$w Ru�M1S +td m <br /> r� (1 <br /> DWELLINGIBUILDING ❑ GARAGE/ACCESSORY STRUCTURE l�7 ADDITION ❑ U) 0�./ <br /> TYPE OF PERMIT(S): c <br /> a <br /> FILLING/GRADING 11 CAMPING UNITE] <br /> SUBDIVISION ❑ '� /' <br /> STRUCTURE/ADDITION USE: F ft • y I� ^�^}"L-� �1C�`fO o_ <br /> (Home/Cabin;Comm cial Business;l3edroom;Deck;etc.) m JY1 <br /> BUILDING CONTRACTOR: rL I L._ptt•p�/(Lr. t2 ,/�, �; <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. 3 UJ <br /> A V <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) O <br /> In a <br /> -n Z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. n <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m 0 <br /> NORTH(N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO m 1 3 <br /> CENTERLINE OF ROAD,(C)BUILDING(S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF ted 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. :E <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR ED. N <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTMAYBE <br /> THE PLANS 0 <br /> MUST BE SIGNED AND DATED BY THE OWNER. I <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATI N o <br /> NEEDED. 4 / <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. r �jr // o <br /> CONDITIONS OF PERMIT: eURNF '��Rf L <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT A, �/No Q <br /> ISSUANCE. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. 2Q�i'V <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. Xlb�,,.� r � S I n b l u c ... ''f� �( v� p rFt. r� /-uq+ /oe kew-6+ / <br /> 6. /'� ' P L✓�T�Ctn. -�26;:+ G'r!-('/^JM A'"Q°I 3 n rr 0 a m <br /> 7. Z N ID o �� 3 <br /> M <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the best of my A <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of m C vi c <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize m m o m <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 v <br /> providing in this application. I agree to permit county officials charged with administering county ordinances or other m <br /> authorized person to have access to the above described premises at any reasonable time for the purpose of inspection m <br /> o : <br /> CD M <br /> m <br /> SIGN HERE (f'4t4� 4f-.,5-a <br /> n : <br /> ( atur of ner or builds o actor) (date) <br /> ZONING ADMINISTRATOR <br /> dI fA EA fA � N <br /> N (n N NO O <br /> (T O (T O <br /> TOWNSHIP PERMITS MAY BE REQUIRED (T O <br />