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Burnett County 7410 County Road K,Nm 102, Siren,WI 54872 Of ice of Zoning AdminaLebor 3 <br /> APPLLIC/AITIOfN1 FOR LAND USE PERMITS) <br /> OWNER TELEPHONE <br /> PROPERTY ADDRESS �JoZ( '1' RD(rD ('�d 'S0 <br /> / <br /> LEGAL DESCRIPTION <br /> MAILING ADDRESS <br /> TYPE OF PERMIT(S): <br /> ❑Single Family Dwelling ❑Garage/Accesory SOutture ❑ Stairs P(Commemal Building _ <br /> ❑Addition ❑ Bunkhouse ❑ Filling/Grading Cl Commercial Addition <br /> ❑ Deck If 59.692(ly)Gazebo ❑Camping Und Cl Commercial Acc.Structure ' CJ <br /> s <br /> STRUCTURE/ADDITION USE: o <br /> (Home/Cabin;Wmarclal Basions; Bedroom; Deck;ek.) II - <br /> fR11LDING OONTRACTgt: [F�'9'e �A-L'-� DV) LL71Tj E1 <br /> n H <br /> -PLOT PLAN---INCOMPLETE OR ILLEGIBLE PLOT PLANS M"BE RETURNED. 7 <br /> -**REOUIRED PLOT PLAN INFORMATION"* 9) t <br /> ❑ BVz'X Il'SHEET OF PAPER DISTANCE(IN FEET)TO: e <br /> ❑ DRAWN TO SCALE OR DISTANCES LABELED ❑ WELL <br /> Cl PROPOSED BUILDING/STRUCTURE LOCATION ❑ SEPTIC TANK&DRAINFIELD <br /> 4DiMmacims&Heights ❑ ROAD RIGHT-OF-WAY IF SURVEYED j <br /> ❑ EXISTING BUILDINGS/STRUCTURES(Includes deck,porch,etc.) 4CFMER❑NE IF NOT SURVEYED <br /> 40Men9orLs&Heights ❑ ALL PROPERTY LINES o l <br /> ❑ NORTH ARROW ❑ ORDINARY HIGH WATER MARK 3, Illr9',JJ�1 <br /> ❑ ALL WETINtlD AREAS <br /> NOTE: &tiWbg/rtnrrdpe location mart be staked for undT verification when needed. 'l1'SV 1� (� <br /> THIS PERMIT IS SURPECT TO ALL CONDITIONS LISTED BELOW: D EC <br /> „1��1V12 <br /> • Removal or rotting M trees ala vegetation is restricted along shoreline E V LS l:l L[ (= J r <br /> • No structures(including retaining walls,etc.)are allowed unless specifically permit _ <br /> No filling,grading,or shore land alterations are allowed unless specifically perimma OCT 15 1114 <br /> • Driveway oast meet wloN regucements within W days of permit ON yJ <br /> • <br /> Accessory sbuoure/garage perms allow For private residmdal storage only BURNETT COUN <br /> '•Not In be wetl m <br /> for human habitation or rental rtomge** <br /> I dedam eat nis application UI WIM any artonCanrinp m tda)has ban ecaminm by ma erW h, krw.leJpe.M I� <br /> bCief it Is Hrai mte2 ala mnpldm. I ack wledpe Hut I am rerponwMe M the detail ala acnii-cy a all IaemteWn mnbinetl in Ku- <br /> Mv a ndimtion(intlWlrp are®nPamrim etledule)ala 1 Nrdv dndme tint I nmgolan tlu[Mu Intimation pratlrd will be <br /> Dietl upon by the county ty a WrMt W®rrsln In hSvmlMrp wMly m Imre.pmnit I rurMv emept Nl gabgM Tat mar be a <br /> rauHaHne CauMyaeunan relrinpm tlda lMpmutbn lam por"Trq In Tbappliotb�. IaprampmatmurRyaNltlaNNryM f <br /> wIT minim tra Im manly pNlroraes or other autlMZM perone W have atimar to the abmsdeavilxd premlaa A any rmawble <br /> time nor Te purp�a Inspatbn. <br /> a„ a <br /> --ADDITIONAL CONDRIONS— t a <br /> Lf CeRTiFrcD SURVEY MAP(G5M) 0-TIL ivEED To 8E Do.vE <br /> -,qyvD REcoR0D-D SY 12M-111 QHscHlwrct- H,4v6 To roovE <br /> 07 Ll.VE So THS Bu=c02�v�g (�SGG MEbT 'T//E m @`°i ; <br /> 7NE a O n ,, U' <br /> REawrAFD STDE �SOUTH) S TCK. B 5 ➢ e adz <br /> s6E ArrAcNE DDz7xo v/F S o s o==s s <br /> OWNER'S SIGNATURE /o y ta) ; B? m m R 6 � m <br /> 20NING OFFICIAL /O 71J ZO <br /> **TOWN/UDC RMITS MAY BE REQUIRED **THIS PERMIT SHALL EXPIRE ONE YFAR FROM DATE OF ISSUANCE - <br /> Ypu are responsible for compinn,, with state and federal laws concemb,, construction near or on wetlands, lakes, and streams. = 8 <br /> Wetlands that are not associated weh open water can be diffiaaR In identify.Failure W comply may result in renoval or modNcabon <br /> of cvmtnucoon that violates the law or other pewllias or costs. For more information visit the Departrrcnt of Naulal Resources <br /> wetlands klatlfium web page«contact a Depamnant of Natural Resources service center. <br />