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Burnett County 7410 Co. Rd. K, No. 102,Siren,WI 54872 Office of Zoning Administrator a <br /> APPLICATION FOR LAND USE PERMITS 3. <br /> ^ r <br /> o <br /> anmER DGIAc�q-5 W. .....K✓lLA Ann, TELEPHONE g,G, ' kc;-74 m <br /> �/ <br /> MAILING ADDRESS ��T (Q I •�GyI C°Si 0. 0 �Q. v <br /> PROPERTY ADDRESS S0-ilyp <br /> LEGAL DESCRIPTION(see lax receipt) �> <br /> Lta 6i <br /> DWELLINGIBUILDINO GARAGUACCESSORY STRUCTURE Ip AnDITIDN ❑ ra o '� <br /> TYPE OF PERMIT(S): c ° (/1 <br /> FILLIN <br /> G <br /> /GRADING ❑ CAMPING UNIT ❑ SUBDIVISION ❑ <br /> STRUCTUREIADDITION USE: IVC2.V` E'. _ o �( I ' <br /> Comnrcrcial Business; Bedroom; Deck; etc.) m N" <br /> BUILDING CONTRACTOR: ;S el I4 IS <br /> - <br /> 3 � <br /> A PLOT PLAN MUST BE PROVIDED ON LEAST AN 8'/,X 11 SHEET OF PAPER. ANY INCOMPLETE OR 3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. <br /> A <br /> DIRECTIONS FOR PLOT PLAN DRAWING (AERIAL OR TOP VIEW) p n W <br /> T <br /> T Z <br /> t. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN DRAWN TO SCALE. I? <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGSS((EB)AND ALL NEW BUILDINGS INS)AND INDICATE M m m U z <br /> NORTH(N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO an o <br /> CENTERLINE OF ROAD,(C)BUILDINGS)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF z <br /> LAKE,STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. ) a <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES TO ( I� <br /> BUILDINGS, ROADS, LAKE, LOT LINES. <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. I Iv <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER,BUILDER,CONTRACTOR,ETC.,THE PLANS <br /> MUST BE SIGNED AND DATED BY THE OWNER. ,o o <br /> o <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAYBE DONE WHEN 11,, <br /> NEEDED. - W <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. o O r 1 I <br /> CONDITIONS OF PERMIT: `S V <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. (�f <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY U) C <br /> PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RFTAINING WAI IS FTC At I OWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> 5. This structure to be used as private residential <br /> garage/storage only. Not to be used for human m m a o$ <br /> 6. habitation. <br /> 7' o A <br /> T <br /> I declare that d belief a t ist ru mcrrect an accom an m scl a ge t nes amen msammea o me det m nd beat ac m <br /> PP (� e Y p Y 9 1 Y Y <br /> knowledge ion i it is true, correct and complete. 1 acknowledge that 1 am responsible for the detail and accuracy zof <br /> e a c U <br /> all information contained In this application(Including any accompanying schedule)and I further declare that recognize <br /> that this Information I am <br /> ac providing will be hick upon by the County of Barnett Wisconsin in determining Information <br /> I . <br /> G1 <br /> sue i ing in I further accept all liability which may county <br /> o result of the County of BumaH ingcrelying on this Information I am i? <br /> providing in this application. I agree to permit county oNlclals charged with administering county ordinances or other a fo <br /> - <br /> authorized p n to have access to the above described premises at any reasonable time for the purpose of inspection. 1D <br /> q a ' <br /> SIGN HERE <br /> • (signature of owner or Wilding contractor) (date) <br /> ZONING ADMINISTRATOR Iitry) F16L/11�en <br /> � �wuurup» <br /> vO.eIen <br /> TOWNSHIP PERMITS MAYBE REQUIRED <br /> S PERMIT SHALL EXPIRE ONE YEgR FROM DATE of ISSU NC <br /> 'U�YIi + Ie 1 fe✓�iCk G1 �p b7 UOlL9�J F6Lpjah <br />