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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 . <br /> N <br /> N <br /> T ,/pp m <br /> OWNER _J SP1 Ll�`!/�/IJOi✓ /L[�/Jl.c ITs�.J /I L!a ZrNE' E �' ( C:::3 <br /> N / a my <br /> MAILING ADDRESSY�� . � &*toy _ C�—f�/l��j�G - <br /> PROPERTY ADDRESS/ 'rx/yam <br /> LEGAL DESCRIPTION(see tax receipt) '� ck r <br /> PCL � L . s .(mac 4go /3�N - R a40 a ¢ <br /> DWELLING/BUILDING ❑ GARAGE/ACCESSORY STRUCTURE ❑ ADDITION ❑ rn <br /> TYPE OF PERMIT(S): c <br /> FILLING/GRADING ❑ CAMPING UNITSUBDIVISION Eln <br /> STRUCTURE/ADDITIONOSE: fO 2T/I'6!<. �G t/L � �Z O/Al <br /> ' (Home/Cabin; Commercial Business; Bedroom; Deck;etc.) /gyp m <br /> BUILDING CONTRACTOR: �C L <br /> jF <br /> m <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 81/e X 11 SHEET OF PAPER. ANY INCOMPLETE OR 3 ( <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. O)�1 <br /> M N <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) r a <br /> ?t o z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. m :Mo2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE <br /> NORTH(N). N o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO m 3 <br /> CENTERLINE OF ROAD,(C)BUILDING(S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF °oZ <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 <br /> BUILDINGS,ROADS, LAKE, LOT LINES. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. a <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER,BUILDER,CON <br /> Tft`T9�t,ETC.,THE PLANS 5 <br /> MUST BE SIGNED AND DATED BY THE OWNER. �UNOTE: BUILDINGISTRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFIC�NEEDED. 7 <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. n o b <br /> CONDITIONS OF PERMIT: QUn / <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMITQ� <br /> ZYY n� <br /> ISSUANCE. 7�/ co w <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. N� <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 Q <br /> SETBACK AREA. <br /> 5. 1'C' Iml4c,/d ��T 0O/1N/ <br /> ° 5 9af6. <br /> m <br /> co y O j C <br /> 7. Z N W A <br /> O O tC <br /> ° "` m <br /> declare that this application (including an accompanyingschedule has been examined b me and to the best of m <br /> PP (� 9 Y ) Y Y <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of m n <br /> �: <br /> all information contained in this application(including any accompanying schedule)and I further declare that 1 recognize CL r : m <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- m <br /> f7 <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 E m E <br /> providing in this application. 1 agree to permit county officials charged with administering county ordinances or other m <br /> m i <br /> authorized person to have access to the above described premises at any reasonable time for the purpose of Inspection. - c , <br /> (D m • <br /> SIGN HER 2heb �' E <br /> "Pre of ner or building contractor) V (data) i °' i <br /> l <br /> ZONING ADMINISTRATOR <br /> N((n O <br /> ^�P* �G Qu+ o ®® o <br /> (� �- 0�0 � TOWNSHIP PERMITS MAY BE REQUIRED <br /> &�-� THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE "1 <br />