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Burnett County 7410 Co.Rd. K,No. 102,Siren,WI 54872 Office of Zoning Administrator -0 o o <br /> APPLICATION FOR LAND USE PERMITS o <br /> (iia_ aoa- 0753 (c) <br /> CD <br /> m p� <br /> /� <br /> OWNER LSO /�� �. / / /✓L'_6'� TELEPHONE <br /> N <br /> MAILING ADDRESS 7!S !C ND L LW0Dttl n10 vi /Y���I d5 U� w /i')/� �S I l Z m 0 <br /> 3S 3S �=�wn/ L/I1<E -bR , V r <br /> PROPERTY ADDRESS <br /> S C,. i 3 z✓l" y I <br /> LEGAL DESCRIPTION(see tax receipt) P C f_. 5F_ AI 77f/4c� m <br /> IIC�77II <br /> a <br /> DWELLING/BUILDING ❑ GARAGE/ACCESSORY STRUCTURE R ADDITION ❑ C o <br /> TYPE OF PERMIT(S): CL <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION ❑ <br /> STRUCTURE/ADDITIONUSE: 7`0 <br /> fHome/Cabin;Commercial Business; Bedroom; Deck; etc.) w <br /> BUILDING CONTRACTOR: �O 140 / �S �/ /"c� m <br /> v <br /> CD <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8'h X 11 SHEET OF PAPER. ANY INCOMPLETE OR m 3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. O 4 <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) O o ` <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. m 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 1 3 <br /> CENTERLINE OF ROAD,(C)BUILDING(S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF o <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. U/ <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. o (� <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER,BUILDER,,) OR,ETC.,THE PLANS �• ' <br /> MUST BE SIGNED AND DATED BY THE OWNER. (/� ° (/) <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VE ICATIO <br /> NEEDED. � <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. I' S Z <br /> P lQ <br /> CONDITIONS OF PERMIT: C�R '�` <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERS/TCD ( _ <br /> ISSUANCE. �vlv�� G UG 4 <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. a <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. � be � 1-0 Uv I -)-b 0W( <br /> D <br /> rn1 �CQmW n � <br /> This structure to be used as Private residential a g x am_6. <br /> garage/storage only. Not to be used for human z y 0 o ': °_ 2 a <br /> 7• 1 habitation. ° Mi i i m <br /> = rn : <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the best of my 0 1 c : C <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of n 5t i N I <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize m m08 G <br /> that this information 1 am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- <br /> sue a permit. I fu er accept all liability which may be a result of the County of Burnett relying on this information I am E m <br /> providing in this p lication. I a ee to permit county officials charged with administering county ordinances or other o <br /> authorized pars t have acces to the above kiescribed prees ata y reasonable time for the purpose of inspection. T m Co <br /> m • <br /> �-� S- Z� mCD <br /> SIGN HERE m <br /> ( re or owner or bull c ntractor) (date) ° '• <br /> ZONING ADMINISTRATOR /Yl �� <br /> Ptf JV TOWNSHIP PERMITS MAY BE REQUIRED u <br /> �'ncl THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE J� <br />