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Burnett County 7410 Co.Rd.K,No.102,Siren,WI 54872 Office of Zoning Administrator M G) Z <br /> APPLICATION FOR LAND USE PERMITS <br /> r <br /> N 0 <br /> C <br /> OWNER F e l e e . TELEPHONE 95a- 30?a -3 0 3 0 <br /> MAILING ADDRESSI oZ Ir0 0c) py e t- 1,I'.✓e Ave le- <br /> PROPERTY <br /> e ✓'') <br /> PROPERTY ADDRESS a-74-IS-7 - e LtJs �� � <br /> Sec,3- -7-VOA/ de /Co W Gav, Lo+:i <br /> LEGAL DESCRIPTION(see tax receipt) L.O+ V. /-7 3 g w <br /> DWELLING/BUILDING tK GARAGE/ACCESSORY STRUCTURE ❑ ADDITION ❑ d c 0 <br /> TYPE OF PERMIT(S): r,Cr <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION ❑ <br /> STRUCTURE/ADDITION USE: 64?"n-e G 4W.6 _ <br /> (Home/Cabin;Commercial Business; Bedroom; Deck;etc.)45konC m (t,� mm <br /> BUILDING CONTRACTOR: Fi rnc�S�iNL. ��o,Ot� +� �S rirG, (gsa-ya3-(a��9) in (S1 1 <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR 2 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. In _ <br /> N <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) ,Ott a <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. n 71 w j0 <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m <br /> NORTH(N). W o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO M3 <br /> CENTERLINE OF ROAD,(C)BUILDING(S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF <br /> IS- <br /> LAKE,STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. ) c <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES TO d <br /> BUILDINGS,ROADS, LAKE, LOT LINES. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. Q N G <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER,BUILDER,CONTRACTOR, ETC.,THE PLANS i <br /> MUST BE SIGNED AND DATED BY THE OWNER. n F <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. Z <br /> CONDITIONS OF PERMIT: P O <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT <br /> ISSUANCE. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. pp <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. <br /> m1 <br /> CO,D9af m <br /> 97 d m <br /> 6. m 3 a F 0 <br /> � �N C N y 0 7 <br /> 7. <br /> P ' m <br /> 1 declare that this application (including an accompanyingschedule has been examined b me and to the best of m �^�' <br /> PP ( 9 Y ) Y Y c E C <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of a n <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize m m <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- <br /> v <br /> sue a permit. 1 further accept all liability which may be a result of the County of Burnett relying on this information I am <br /> providing in this application. I agree to permit county officials charged with administering county ordinances or o m <br /> authorized person to have access to the above described premises at any reasonable ti m m c <br /> c m <br /> SIGN HERE <br /> ( ature of owner or building contractor) ) ! ` o. <br /> ' d� RA <br /> ZONING ADMINISTRATOR �%I rV1 �'1 SES 7 2004 <br /> TOWNSHIP PERMITS MAY BE REQUIRED 3URNETT COUNTY N o $-o <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCEQNING (/� n <br />