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Burnett Cbunty 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator - 0 o <br /> APPLICATION FOR LAND USE PERMITS 3 <br /> - r <br /> y O ^ <br /> to _VV' <br /> CL <br /> OWNER William & Karen Holden TELEPHONE 507) 282-7' -42 0 <br /> mOd <br /> HOME ADDRESS 2666 Chester Road SE, Eyota, MAT 55934 <br /> EMERGENCY/FIRE NUMBER 23821 ROAD NAME Azorah Lane <br /> 18-38N-14W, Torn of Dewey _`r Q� <br /> LEGAL DESCRIPTION(see tax receipt) Lot 17 , CSM V. 11- Pa e 89 J V C ` C+ <br /> DWELLING/BUILDING 0 GARAGE/ACCESSORY STRUCTURE ❑ ADDITION ❑ PRIVY ❑ �Vl 0 <br /> TYPE OF PERMIT(S): cr <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION ❑ 5 <br /> STRUCTURE/ADDITION USE: Cabin c <br /> (Home/Cabin; Commercial Business; Bedroom; Deck;etc.) r <br /> d <br /> BUILDING CONTRACTOR: Call Of the Loon/Duane Ronan <br /> T <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8'/:X 11 SHEET OF PAPER. ANY INCOMPLETE OR m3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. <br /> JP51�9�y�/ y9 00 N <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) KN°Q 5�,, 4` p S <br /> L n a <br /> -n <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. m 'ZA <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE <br /> NORTH(N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDINGS)TO m \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. 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 O <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER,BUILDER,CONTRACTOR, ETC.,THE PLANS O <br /> MUST BE SIGNED AND DATED BY THE OWNER. c <br /> o � � <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAYBE DONE WHEN q o n <br /> NEEDED. 0 CJ <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. Zc <br /> CONDITIONS OF PERMIT: I <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT <br /> ISSUANCE. �1 1 <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. 90 <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY Q,PERMITTED. 1 <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER `-A A <br /> SETBACK AREA. "I <br /> 17 <br /> 5. <br /> M = E <br /> . <br /> 6 . 3 <br /> a <br /> io � v names= 7m11 <br /> mc0 . 0o3 <br /> 7. z ^ °z Baa i <br /> o <br /> c .0 <br /> - n m <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the best of my ('j g p <br /> knowledge and belief It is true, correct and complete. I acknowledge that I am responsible for the detail and accuracy of m � c <br /> all information contained in this application(including any accompanying schedule)and I further declare that 1 recognize CL 3 <br /> that this Information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- 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 m' <br /> providing in ication. I agree to permit county officials charged with administering county ordinances or other m <br /> authorize ere h ve access to he above described premises at any reasonable time for the purpose of inspection. m <br /> m <br /> SIGN HERE <br /> 31 a roof owner b ding contractor) (date) <br /> ZONING ADM STRATOR <br /> (T N N V1 <br /> O f! UI O <br /> TOWNSHIP PERMITS MAY BE REQUIRED $o 0 0 <br />