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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 /> o <br /> C <br /> OWNER JeCtil'ov, d 1 SCrv1Lei ZnG, TELEPHONE 16 �6 + 6OQ ojjV <br /> HOME ADDRESS y0 L.aKe gcl(eVv a .S,/je /6/ fie/ 2 vVe f 1414 Fheas- <br /> _ r e <br /> o <br /> 1 w l• <br /> EMERGENCY/FIRE NUMBER ROAD NAME er'jGeSOn I-aye , <br /> LEGAL DESCRIPTION(see tax receipt) 5�;o T 7/V R fob 4/ 1.a/ 4j 44!VA !ed/d 1 <br /> Cn 0 <br /> TYPE OF PERMIT(S):DWELLING/BUILDING GARAGE/ACCESSORY STRUCTURE ADDITION c <br /> CL <br /> w' Q <br /> SANITARY kee"PRIVY FILLING/GRADING �CAMPINGUNIT SUBDIVISION S _W <br /> STRUCTURE/ADDITION USE: <br /> (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) a <br /> A PLOT PLAN MUST BE PROVIDED ON A SEPARATE SHEET OF PAPER. ANY INCOMPLETE OR n" <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. O (T) <br /> a 00 0 <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) 0c <br /> '—r o Z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. n m �A <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE C n n <br /> NORTH(N). N V ° <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES, (B)BUILDING(S)TO Mv <br /> CENTERLINE OF ROAD,(C)BUILDING(S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF LAKE, Z <br /> STREAM OR RIVER. D0 <br /> 0 <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES TO BUILD- I <br /> INGS,ROADS,LAKE,LOT LINES. Z <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. <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. S. <br /> ° <br /> v 9) <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED FOR ONSITE VERIFICATION BEFORE A PERMIT CAN BEa d <br /> ISSUED. Q <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. 0 1 <br /> CONDITIONS OF PERMIT: <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. Cn <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY 71� <br /> PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN 75 FEET OF THE OHWM OF LAKES, <br /> PONDS, RIVER UNLESS SPECIFICALLY PERMITTED. <br /> 5. Ohsfe / r � l sefd�� k /a La Ire- 0 <br /> / :L 9 rl t/e r: a p� m m v o rn <br /> /� J3 �l1 r�i Yl 1 !l//�I_ M � 3 C& 7m0 <br /> s. Gt adrn`�o S' o e f /G/�a as asei e,? / u,'re erb<I��fl Cov��re/ o : C. w <br /> 7. iyleasu`fes- �/Tcr �e�tcC- _f-1 <br /> 1�d sf, Iles-h�u/clued FSP�fe , o " ,� <br /> =V' : m <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the best of my G3 g i C <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of -ZN)E <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize ' o : m <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- m; v <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 0-3 <br /> providing in this application. I agree to permit county officials charged with admini ty ordip;linces or other ? o <br /> authorized person to have access to the above described premises at any reasonable t ri'ie for the purpose of inspeetion:' m E <br /> m : <br /> Sec 'on 1031 Services , Inc. <br /> SIGN HERE b 7 � <br /> (signature of 6vrteyft build tractor) <br /> �J j i Qi i E i i i w <br /> ZONING ADMINISTRATOR N V•N N N Vt <br /> --.. 000b000 <br /> TOWNSHIP PERMITS MAY BE REQUIRED 0 0 0 0 0 0 0 <br /> GCaC S�ir�— l- 3- q T <br />