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OF PERMTT(S): DWELLING/BUILDING GARAGE/ACCESSORY STRUCTURE >( ADDITION <br /> ' 0 <br /> ANITARY PRIVY FILLING/GRADING CAMPING UNIT SUBDIVISION 0 <br /> STRUCTURE/ADDITION USE: —Csb �( — Add -1-n CevT� a o ° <br /> (Hom abin;Commercial Business;Bedroom;Deck;etc.) Z <br /> o ° <br /> 0 <br /> CD <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (Aerial or top view) � <br /> 1. Show the location and size of all existing buildings (EB) and all new buildings (NB) and Indicate North (N). <br /> 2. Show the location of the well (VI),septic tank(ST),and drainfield (DF). <br /> 3. Show dimensions In feet of the following:(a)building to all lot lines,(b)building to center line of road,(c)building I g <br /> measurement to the ordinary high water mark of lake,stream,or river. <br /> 4. If separate plans are submitted by an architect,engineer,builder,contractor,etc.,the plans must be signed and <br /> dated by the owner. O c <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAND FOR ONSITE VERIFICATION BEFORE A PERMIT CAN BE ISSUED. " v [n <br /> PLOT PLAN c Cr <br /> m o <br /> CCIO <br /> w <br /> ' <br /> �G.. y Q j <br /> � a s <br /> C.y <br /> g o <br /> (� _ <br /> Pa r c eel- (n <br /> O c wp�DDa1 M <br /> p '1, <br /> CONDITIONS OF PERMIT: v y,- m 0 <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT ISSUANCE. c £o �Q <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. =N <br /> 40 <br /> m <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. <br /> € � € <br /> c : E LW E D <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my knowl- <br /> edge and belief it is true,correct and complete.I acknowledge that I am responsible for the detail and accuracy of all informs- <br /> tion contained in this application(including any accompanying schedule)and I further declare that I recognize that this infor- 13 15 t i p <br /> mation I am providing will be relied upon by the County of Burnett Wisconsin in determiningwhether to issue a permit. I g o <br /> o : <br /> further accept all liability which may be a result of the County of Burnett relying on this information I am providing in this ap- <br /> plication.I agree to permit county officials charged with administering county ordinances or other authorized person to have n~) <br /> access to the above described premises at any reasonable time for the purpose of inspection. m c <br /> Ti E I o E <br /> J' C` <br /> CD i m A W i <br /> SIGN HERE o ' <br /> (signature o owner or building contractor) (date) ` <br /> ZONING ADMINISTRATOR _ I(T1 Wt <br /> i g i E <br /> H Nf 1A-+NM N In <br /> TOWNSHIP PERMITS MAY BE REDUIRED . N 1`13 . N N � rn <br /> 0 $ 08 $ $ 80In <br />