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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 /> _ r <br /> V, O <br /> 41 <br /> C <br /> MO ER `T C i1 eI TELEPHONE ' ' o <br /> MAILINGADDRESS ,29 7 O /lI'�y/U[r DAAf�illry <br /> r � <br /> 1 <br /> PROPERTY ADDRESS <br /> LEGAL DESCRIPTION(see tax receipt)C.-3 /Qer 'YE'S �3_ Y� -��� m <br /> DWELLING/BUILDING ❑ GARAGE/ACCESSORY STRUCTURE ❑ ADDITION © o <br /> TYPE OF PERMIT(S): `ov <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION ❑ ` �1 <br /> Po <br /> v �^ y` T <br /> STRUCTURE/ADDITION USE: Po rX /ck �Q �� ( CliaZ4Q TY1J))1 � h) \ <br /> (Home/Cabin;Commercial Business;B r�oom; Deck;etc.) Q _ C w <br /> (Yw <br /> BUILDING CONTRACTOR: Sc L F <br /> � <br /> I <br /> m <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. p <br /> M y (O <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) 4 a <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. m o A <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE <br /> NORTH(N). y 3 <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO m -O <br /> CENTERLINE OF ROAD,(C)BUILDING(S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF (� Z <br /> LAKE, STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. , 9 <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES TO ` O <br /> BUILDINGS, ROADS,LAKE, LOT LINES. <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, CO�Q'R�C T~�rTHE.PLANS Q1 <br /> MUST BE SIGNED AND DATED BY THE OWNER. _�Irjay' z� L� <br /> 1 J 7 <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONEIIVH <br /> NEEDED. � ���� � •� ���� � � � <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. ) <br /> CONDITIONS OF PERMIT: SUF`•�NE T COUNTY �• � <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. <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY t <br /> PERMITTED. l <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER I <br /> SETBACK AREA.��'Xs <br /> ,�- <br /> 5. rn- J/ l r `'Lj�(J y�J / <br /> T / ' (J(�1` ,� pGZ O /Svc 2 m m 0 M a � m <br /> 6. J d� 1 �L�/� �l� IJG / $ 3 a m ox � <br /> �� fD C y N 0 3 <br /> 7.& Z N N O O 0 <br /> �I <br /> m <br /> I declare that this application(including any accompanying schedule) has been examined by me and to the best of my c C <br /> knowledge and belief it is true,correct and complete. I acknowledge that 1 am responsible for the detail and accuracy of m n v+ <br /> PP (including Yaccompanying ) g <br /> all information contained in this application Includin an schedule and 1 further declare that 1 recognize (D o m <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 <br /> authorized person to have access to the above escribed pre -nises at any reasonable time for the purpose of inspection. ° o <br /> CD <br /> M m <br /> SIGN HERE cy E n <br /> (signature o r or building contractor (date) <br /> O <br /> ZONING ADMINISTRATOR <br /> O <br /> �3378Goo <br /> TOWNSHIP PERMITS MAY BE REQUIRED f3600 <br />