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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 <br /> U o <br /> N <br /> CD <br /> ,f // J r I ��.�r / ,1 / c' �J n/JO /y C <br /> OWNER ,�,04 J . Adxi GLt/.C'1KA A . OLSOU TELEPHONE y/, - 1 60 / 14 / o93 <br /> CD <br /> MAILINGADDRESS a)5b 9,6 41k S -A-1&C /d 0A-19 WT 54801 <br /> PROPERTY ADDRESS OC 5696 r 2dt'LS C-djj j24 r ZPWAAR t Wr -54301 <br /> Q <br /> LEGAL DESCRIPTION(see tax receipt) 5 6-'10 h 3,5 "7?)W t 1 3�N IUiL✓1 7 S� NG I� m <br /> DWELLING/BUILDING ❑ GARAGE/ACCESSORY STRUCTURE ADDITION ❑ TO o fi <br /> TYPE OF PERMIT(S): n J <br /> FILLING/ RAIDING ❑ CAMPING <br /> /UNIT ❑ SUBDIVISION ❑ < <br /> STRUCTURE/ADDITION USE: 3a' 1 <br /> l�5Q , 0 w p <br /> �f (Home/Cabin; Commercial Business; Bedroom; Deck;; etc.) rn <br /> BUILDING CONTRACTOR: /W/.7GIeT� �J(t �O C�ST}�l 1 C I J O A 1 O <br /> m <br /> CD <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR 3( � O <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. p N <br /> N <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) O n <br /> n <br /> -n OZ <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. m m X <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE <br /> NORTH(N). y o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES,(B) BUILDING(S)TO m L 33 <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. I fes` <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. N 1v <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 /> F I <br /> O � <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN "» o <br /> NEEDED. C/�l <br /> V' <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. o FZ7 I I <br /> CONDITIONS OF PERMIT: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT <br /> ISSUANCE. J <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. This structure to be used as private residential <br /> 5. garage/storage only. Not to be used for human <br /> m m m W 0 MO D FO m <br /> 6. habitation. ; ; 3 a; x a ;a <br /> -o =,- CD <br /> 7. Z c y m o <br /> O N T < <br /> licatio, <br /> m <br /> I declare that this a <br /> PP -- _.., ____...r ..�...y ,.� ,�/ ..ate 4CC11 exannnea Uy me and to the best of my G) c -4 . C <br /> knowledge and belief it is true, correct and complete. I acknowledge that I am responsible for the detail and accuracy of n (A <br /> all information contained in this application(including any accompanying schedule)and 1 further declare that I recognize i m c : mo <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- V I ° 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 o <br /> providing in this application. I agree to permit county officials charged with administering county ordinances or other o <br /> authorized person to have access to the above described premises at any reasonable time for the purpose of inspection. ° n <br /> 1� CD m a <br /> SIGN HERE / ff7l <br /> igr ture of n or building contractor) (date) o i <br /> ZONING ADMINISTRATO <br /> ra O <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF-ISS^UANCE y <br /> I d Z u D/s�� ID-3a-o <br />