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n <br /> Burnett County 7410 Co. Rd. K, No. 102,Siren,W154872 Office of Zoning Administrator T ci Z <br /> APPLICATION FOR LAND USE PERMITS 3. <br /> r <br /> y O <br /> OWNER ��� �YIA/ �/2SC�h W TELEPHONE 76 ��`J (7 / /y,> c <br /> ` O <br /> MAILINGADDRESS 3y, S cec'7& ¢ S:leee/O/C �✓i � ���� �fl <br /> [� 0 <br /> PROPERTYADDRESS <br /> i n1 <br /> LEGAL DESCRIPTION(see tax receipt) L Cs h-) ✓ �— _ /_S7 <br /> m <br /> DWELLING/BUILDING ❑ ARAG CCESSORY STRUCTURE ADDITIONa <br /> ❑ 0 <br /> TYPE OF PERMIT(S): (� <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION ❑ < CC, <br /> STRUCTURE/ADDITION USE: � �a��� cs?9 <br /> (Home/Cab' ; Commercial Business;Bedroom; Deck;etc.) rn C <br /> BUILDING CONTRACTOR: Se-l-F42 <br /> v <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 81/2 X 11 SHEET OF PAPER. ANY INCOMPLETE OR M <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. n 3 <br /> O <br /> :0 m <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) pCD <br /> T a <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. n ? <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m m <br /> NORTH(N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO m (/) 3C1 <br /> DO CENTERLINE OF ROAD,(C)BUILDING(S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF 1 <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. N Q3 <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 /fib <br /> o "1 <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN -» S <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. c <br /> CONDITIONS OF PERMIT: nO <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT SCJ <br /> ISSUANCE. I <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. 1 <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY yJ <br /> PERMITTED. (� <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> 6. ( � K This structure to be used as private residential X d d> o a f m <br /> 6. garage/storage only. Not to be used for human 1-° 3 a 2 n A <br /> habitation. CD c <br /> 7. Z w CD o = o <br /> 9 -n � z <br /> I declare that this application(including any accompanying schedule) has been examined by me and to the best of my A <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of d 2 <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize CL 1T : M <br /> (D o : mt7 <br /> that this information I am providing will be relied upon b the County of Burnett Wisconsin in determining whether to is- <br /> P 9 P Y tY g O: <br /> sue a permit. I further accept all liability which may be a result of the County of Burnett relying on this information I am CX : m <br /> providing in this application. I agree to permit county officials charged with administering county ordinances or other d <br /> authorized person to h ve access to the abov described premises at any reasonable time for the purpose of Inspection. fD m <br /> -n o <br /> �j ig <br /> O <br /> SIGN HERE <br /> 3 <br /> (signature own or building contra c r (date) n ' n <br /> 11 �j <br /> ZONING ADMINISTRATOR (Q <br /> fA fA 69 fA�N <br /> N V t N N O O <br /> (TO (T (TOO <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br />