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Burnett County 7410 Co. Rd. K, No. 102, Siren, WI 54872 Office of Zoning Administrator -0 Q Z <br /> APPLICATION FOR LAND USE PERMITS 3 <br /> rn o <br /> r <br /> CD f/1 <br /> C <br /> OWNER Kathryn Young TELEPHONE 716-688-1872 n <br /> v <br /> HOMEADDRESS 38B Beehunter Ct. East Amherst, NY 14051 <br /> CDCD <br /> r <br /> o <br /> EMERGENCY/FIRE NUMBER 28408 ROAD NAME McKenzie Road ` a <br /> O N ct <br /> LEGAL DESCRIPTION(see tax receipt) 028-91 9, <br /> 0-0 50 sr N n <br /> CD <br /> DWELLING/BUILDING ® GARAGE/ACCESSORY STRUCTURE 1:1 ADDITION ElPRIVY ❑ (n w 0 O <br /> TYPE OF PERMIT(S): �C <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION ❑ a O <br /> STRUCTURE/ADDITION USE: Home Year Round T. w 0 <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) ti ' <br /> BUILDING CONTRACTOR: Custom Building Specialties � <br /> �a N <br /> m <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8Y:X 11 SHEET OF PAPER. ANY INCOMPLETE OR � <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. -n 3 n <br /> 0 - x <br /> (D <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) 0 �3 O <br /> CID <br /> -n a N <br /> H. <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. n N ? <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m <br /> NORTH(N). C n <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO m ((D r 3 <br /> CENTERLINE OF ROAD,(C)BUILDING(S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF A v <br /> LAKE,STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. Z <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 N <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER,CONT 0 <br /> MUST BE SIGNED AND DATED BY THE OWNER. o I <br /> F <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATIQ AY B&JVNI 7F. r' o �O <br /> NEEDED. J (,(/Y' I (JyI <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. BURNI C/) �^' <br /> CONDITIONS OF PERMIT: 2 pNING 't(�N Id O <br /> r <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT cl- <br /> ISSUANCE. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. <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. <br /> 5. ll-�� -� i �e <br /> 6.� 1//, m3am ( n � M <br /> UJB[GL v' : m C N ^ o E <br /> 7. Z : 'i O .i <br /> o <br /> C <br /> o� _ � A <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the best of my �l : C <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of 0 m <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize (7TC�✓ <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- m t7 <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 w <br /> L1 <br /> providing in this application. I agree to permit county officials charged with administering county ordinances or other <br /> authorized person to have access to the above described premises at any reasonable time for the purpose of inspection. m <br /> m <br /> CID a <br /> SIGN HERE <br /> (sig ature of owner or building contractor) date) <br /> ZONING ADMINISTRATOR (Y� <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br />