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Burnett County 7410 Co.Rd. K,No.102,Siren,W154872 Office of Zoning Administrator m o° <br /> APPLICATION FOR LAND USE PERMITS . <br /> OWNER O �/t/t^ OL VlL', TELEPHONE 952�9� - D67 g a G <br /> Is <br /> MAILING ADDRESS )V� IVVG . / e- , � <br /> ! OO o <br /> PROPERTY ADDRESS O Ll k0d <br /> L1� L�.. ( Lnt� 7-'41 Nl2 Is- w r <br /> LEGAL DESCRI ION(see tax receipt) ` i2 t Cl) <br /> DWELLING/BUILDING ❑ GARAGEIACCESSORY STRUCTURE ❑ ADDITION C rn <br /> TYPE OF PERMIT(S): n i <br /> FILUNG/GRADING ❑ CAMPING UNIT SUBDIVISION ❑ f <br /> G,' y <br /> STRUCTURE/ADDITION USE: ;1X 20 > >- <br /> (Home/Cabi Commercial Business; Bedroom; Deck;etc.) <br /> 2. <br /> BUILDING CONTRACTOR: 51' rrr—t -- <br /> v <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 77 SHEET OF PAPER. ANY INCOMPLETE OR m <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. <br /> M W <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) T o <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. n w jo <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE c m <br /> J <br /> NORTH(N). W 3 <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 <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES TO iO <br /> BUILDINGS,ROADS, LAKE,LOT LINES. W <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. N <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER,BUILDER,CONTRACTOR,ETC.,THE PLANS 2 <br /> MUST BE SIGNED AND DATED BY THE OWNER. f ()^ <br /> o vl <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN q g <br /> NEEDED. �p . <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. c <br /> CONDITIONS OF PERMIT: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYSv RMl7( Z y� xJ !JJ <br /> ISSUANCE. I <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG ORELWE. <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFIC LLY <br /> PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN TH f11 ED WATEF�3'0 <br /> SETBACK AREA. ��++��11//VC 0,� �I <br /> 5. C ' <br /> 2C°�/ (G v 1/jy m w 0 a i m <br /> 6. m 3 a m OW D M <br /> 7. Z m O <br /> P T' ' : m <br /> I declare that this application(including an accompanyingschedule has been examined b me and to the best of m <br /> PP ( 9 Y ) Y Y G7 2 C <br /> knowledge and belief it is true,correct and complete. I acknowledge that i am responsible for the detail and accuracy of w ; FsOff : <br /> (D O i • 3/ <br /> all information contained in this application(including any accompanying schedule)and I further declare that 1 recognize .� : m � Oi me <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin In determining whether to is- <br /> sue apermit, t further accept all Liability which m a result of the County of Burnett relying on this Information I am n <br /> providing in this ap ion. I agree to rm�t ou ty officials charged with administering county ordinances or other ,o <br /> m E mi <br /> authorized person ha access to a ribed prem es at any reasonable time for the purpose of Inspection. - o , <br /> /a o3 m <br /> SIGN HERE <br /> (sl n of ow er r building oniraetor) (da n <br /> ZONING ADMINISTRATOR <br /> O FA di fA fA N <br /> y r N N N N O O <br /> TOWNSHIP PERMITS MAYBE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br />