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Burnett County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator 0 0 <br /> APPLICATION FOR LAND USE PERMITS 3 - <br /> OWNER !t 1-AS/4 41-s 0 n <br /> MAILING ADDRESS � �5�5 _ �p�jl J7✓moi l.h J /}7/✓ Sj3�� m f <br /> PROPERTY ADDRESS � GlS� �� V Lw/,/t <br /> ��_,Qcn_ •+r G✓T <br /> goer l <br /> /J j <br /> LEGAL DESCRIPTION(,as taxrece,,U �.,JTj� /lr J rr jrr Sri 77 iy //J <br /> I <br /> "' �' <br /> TYPE OF PERMIT(S): <br /> OWELUNGIBUILDI NG, GARAGEIAOCESSORY STRUCTURE ❑ ADDITION,❑ <br /> VVVV <br /> FILLINGIGRADING ❑ CAMPING UNIT ❑ SUBDIVISION ❑ <br /> STRUCTURE/ADDITION USE: _. �, o <br /> omal bin; Comrnan,'ial Business; Bedroom; Deck;etc.) m <br /> BUILDING CONTRACTOR. F�y� �. Zga _ly"'d Ll, G <br /> m �1� IS,I <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN aY.X 11 SHEET OF PAPER. ANY INCOMPLETE OR T ay <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. O N <br /> A m <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) O `m <br /> T 4 <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. T <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE <br /> M A <br /> NORTH(N). c sps <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING($)TO ALL LOT LINES,(B)BUILDING(S)TO an �3 <br /> CENTERLINE OF ROAD,(C)BUILDING(S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF <br /> LAKE,STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. l o <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES TOji <br /> BUILDINGS,ROADS, LAKE, LOT LINES. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED, t <br /> N N <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER,BUILDER,CONTRACTOR, ETC.,THE PLANS tC' <br /> MUST BE SIGNED AND DATED BY THE OWNER. U o <br /> 0 <br /> NOTE: BUILDINGISTRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN <br /> NEEDED. — <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. z v <br /> CONDITIONS OF PERMIT: `n rl/1 <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN fig DAYS OF PERMIT Y`�12\A� <br /> ISSUANCE. VV <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 C <br /> SETBACK AREA. <br /> SNo( ad r� eioser -1-o -H-Iz tall e �hGfn �5 �i om HtL &rite-tore—, <br /> 6. ,411 p-Wlei �I'ad�7 ,allowed onlybypum�t �nd �o�araf,l �om wda � �a � A <br /> ZonlnJv a � � NF <br /> Z o <br /> uNK an <br /> hetlule) has been examined by me and to the best of <br /> I declare that this appllcatlon(including any accopanying scmy <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy omf e� m n <br /> all information contained in this application(Including any accompanying schedule)and I further declare that I recognize IT <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 1 am m <br /> providing In this application. I agree to permit county officials charged with administering county ordinances or other aI <br /> — <br /> authorized person to In access to the above described premises at any reasonable time(or the purpose of Inspection. <br /> T <br /> SIGNHERE <br /> Isieeature�ol owner or builain 5 � /� « <br /> ZONING ADMINISTRATOR \�l(Y) r` LIXr l�✓ IN Y� ? ' <br /> G�NN WfA�+N <br /> O N O N N O <br /> TOWNSHIP PERMITS MAY BE REQUIRED C u, <br /> T IS PERMIT SHALL EXPIRE ONE Y AR ROM DATE O ISSUANC <br /> er/117 � d leo-ler � e eAfLlph i¢ o � he U�rll 6 a3-o6 <br />