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Burnett County 7410 Co. Rd. K,No.102, Siren,W154872 Office of Zoning Administrator m o 0 <br /> APPLICATION FOR LAND USE PERMITS :3 <br /> r <br /> OWNER <br /> TELEPHONE <br /> a <br /> MAILING ADDRESS �l b/7 795'"il /V moi- re,`1S' &.t SAO m <br /> PROPERTYADDRESS S Qr <br /> LEGAL DESCRIPTION(see tax receipt) ( 3 ��/�S �CI� CSS N 12i -DIV 0- j,U I W M <br /> DWELLING/BUILDING ❑ GARAGE/ACCESSORY STRUCTURE ❑ ADDITION ❑ ' S <br /> TYPE OF PERMIT(S): �/ 11 L ' <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION ❑ I(OX aq �llgL au a ftZ ' <br /> STRUCTURE/ADDITION USE: C 1.. Q P n/? " 1 I U 7��""r T-- P <br /> o <br /> — (Ftp a/Cabin, Co merclal Business; Bedroom; Deck;etc.) �7a rhl W C1 <br /> -I <br /> BUILDING CONTRACTOR: d CJ <br /> ID <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY IN MPLETE OR 3 D S <br /> T <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. p <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) 0 o C> D <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. () m ? <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE C -T <br /> NORTH(N). toUj o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO m <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. p 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. C `^-'1 <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BEG D OR FILLED. rrv.xrtt, <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER' THE PLANS 0� <br /> MUST BE SIGNED AND DATED BY THE OWNER. o <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VER FICATION MAY B DEa 0 <br /> F <br /> NEEDED. APR 1 7 ` n r <br /> Z <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. Ar' 7 N <br /> CONDITIONS OF PERMIT: BURNETT COUNTYUwNJTY <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIZOyyNING Ir <br /> ISSUANCE. i a ff '6 nU <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINEIl. ((//�_�_ �._ZoS` <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY / I t <br /> PERMITTED. l>Ll ' u <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> 5. �l�,®a�� .�_ L ;s bu.i It -�utzc�.e� `l ips �s7 'uc-bz e-) <br /> 6. �I 1'�fiurn -tu Shed Jacc�ao�y S/YUO -rej, To be no 3 a mO O <br /> 7 f�ail�h. /n �nSiC�e. 1 ��L. � ,{�►'LSsu.f�. Q K KS onI� c, �f-7-D3 D " C o `� <br /> nOL/I -7!V fU O tf-ua 1 o � I a-t ei. N �_ _ m <br /> T <br /> I declare that this applica ' n (including any accompanying schedule) has been examined by me and to the best of my <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of <br /> nc ; C <br /> ACL 6L, <br /> all information contained in this application(including any accompanying schedule)and I further declare that 1 recognize m o <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- <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 this application. I agree to permit county officials charged with administering county ordinances or other o <br /> authorized person t ve access to the above descr'bed premises at any reasonable time for the purpose of inspection. m <br /> // l� o <br /> SIGN HERE <br /> 'CEO m <br /> (sig t re of or building contractor (date o. <br /> /j 1 <br /> ZONING ADMINISTRATOR I /t t <br /> _ Fn <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br />