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Burnett County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator m o 0 <br /> APPLICATION FOR LAND USE PERMITS 3. <br /> L13 14 C) <br /> (D <br /> Q. <br /> OWNER <br /> OWNER _00 .rm TELEPHONE 770 .-0 6�3- I <br /> m <br /> 0 <br /> MAILING ADDRESS1;3/3 /V C6-ImM-0 <br /> r CD <br /> o <br /> PROPERTY ADDRESSN3 3 /ce- <br /> 3 <br /> r <br /> LEGAL DESCRIPTION(see tax receipt) c <br /> 0 <br /> DWELLING/BUILDING ❑ GARAGE/ACCESSORY STRUCTURE ❑ ADDITION F1Cn o 0 <br /> TYPE OF PERMIT(S): Cr <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION ❑ a <br /> < <br /> Zn <br /> STRUCTURE/ADDITION USE: Dec ° <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) � � QD <br /> j <br /> BUILDING CONTRACTOR: �s <br /> CD <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR n C, <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. -n <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) O a <br /> -n Z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. C7 <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m cD <br /> NORTH(N). Cn o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B) BUILDING(S)TO rT1 0 <br /> -o <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. 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. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. o <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER,CONTRACTOR, ETC.,THE PLANS <br /> MUST BE SIGNED AND DATED BY THE OWNER. 0 <br /> o <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN <br /> f � <br /> NEEDED. v <br /> 1 <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. Z <br /> o <br /> CONDITIONS OF PERMIT: <br /> r � <br /> PERMIT <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF P E <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, 6c6e0 T A-S 5TtrTd':O b6f_vw <br /> 5. T'� Sr't'b lF�-IC SkAt-L. )OCT <br /> 15�e_ qC� 00 0 � D 0 D 0 <br /> 0 :3 a..n a * <br /> cD <br /> 6. (D 7C' Q (D X ,:� <br /> 7 <br /> Z C co . <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the best of my <br /> knowledge and belief it is true, correct and complete. I acknowledge that I am responsible for the detail and accuracy of a, (" <br /> CL , <br /> all information contained in this application (including any accompanying schedule)and I further declare that 1 recognize CD <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 lhdi formation I am o <br /> providing in this application. I agree to permit county officials ch a in ances or other <br /> authorized person to hav ce to the above described remises able=i f t r of inspection. CD <br /> P p m Cl <br /> CD D . <br /> CD a <br />