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Burnett County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator _ o 0 <br /> APPLICATION FOR LAND USE PERMITS 3 �n <br /> �J <br /> V7 o r <br /> 40-V-017 (D <br /> OVVNER W 1('1 QyV( fjaLo , TELEPHONE CS-07) <br /> J m �� <br /> c , O <br /> MAILING ADDRESS t;-eo&4 C je-.jTt.2 'nnwt4� S.fe. -i 6r-A r rL *J S'j 3lf v <br /> r m <br /> 0 <br /> PROPERTY ADDRESS a'6Sa l AILLo2A*- L_f a 514L4,t, C,A4-. , (,,3L 54771 <br /> -ra w?-) a-r ,T Gk'JErr' <br /> LEGAL DESCRIPTION(see tax receipt) LST <br /> 1-7 CSA-1 V-14* 'PAGE g' JCn <br /> DWELLING/BUILDING ❑ GARAGE/ACCESSORY STRUCTURE A ADDITION ❑ ) fA ° <br /> TYPE OF PERMIT(S): Q 0 0 <br /> v <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION ❑ a <br /> STRUCTURE/ADDITIONUSE: 41,44-44fc. <br /> (Home/Cabin;Commercial Business; Bedroom; Deck; C <br /> -etc.) RO <br /> BUILDING CONTRACTOR: Src.-. /CAt-e- cr- -r"+- L,-.,Ln,.a 2: ,A+ 4 eAr All m <br /> m ip <br /> CD <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR B. <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. T <br /> O <br /> 0 ) <br /> N I�_ <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) a � <br /> T O Z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. m <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE <br /> C o <br /> 3. SHOW DIMENSIONS IN 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 OR FILLED. N O <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC., THE PLANS 0 <br /> MUST BE SIGNED AND DATED BY THE OWNER. o 0 <br /> v � � <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN ° <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. o <br /> CONDITIONS OF PERMIT: (� O <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT YJ <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 \ O <br /> PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> 5. This structure to be used as private residential <br /> A nrDODOM <br /> 6 garage/storage only. Not to be used for human CD 0 % g g a f m <br /> a m <br /> habitation. o m c N y o 3 <br /> z 0 <br /> 7. o N M <br /> M <br /> I declare that this appi ne and to the best of my 0 A <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of m 0 : <n <br /> W. E : 01n <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize m o mm <br /> o <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 Courfty f Bt,lrnett relying on this information I am m <br /> P <br /> in this a plication. I agree to permit county officials charged r�rl yrls�ert J ordinances or other <br /> authorize erson to ve access to the above described premises at a 'r§a5 Le o ei qse of inspection. - D ? o <br /> m CDm <br /> SIGN HERE IIJIAVa <br /> (signature of owner building contractor) — Aate) <br /> �: <br /> ZONING ADMI ATOR 1 <br /> EA EA EA EA�+N <br /> ZONING NNNNOO <br /> TOWNSHIP PERMITS MAY BE REQUIRED �'/� 1`lr�✓[ / [-`w'J7 <br />