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Burnett County 7410 Co.Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator - o° o <br /> APPLICATION FOR LAND USE PERMITS . <br /> r <br /> y O <br /> OWNER Wk TELEPHONE Coil L4 16 8389 a <br /> ` v <br /> 1 � � <br /> MAILING ADDRESS a01 <br /> C�rtst ehS�. WGY err a��y 1 M`�j SE4�1 O <br /> PROPERTY ADDRESS l0 8 S 8 17 OVA S <br /> LEGAL DESCRIPTION(see tax receipt) ra 6L- 5 1�o CD <br /> m <br /> DWELLING/BUILDING ❑ GARAGE/ACCESSORY STRUCTURE ❑ ADDITION cn 0 <br /> TYPE OF PERMIT(S): v <br /> FILLING/AGRA(DING ❑Ajdltd4 <br /> MPINGGUNNIT SUBDIVISION ❑STRUCTURE/ADDITION USE: & th 0 <br /> (Home/Cabin;C mmercial Business; Bedroom; Deck; etc.) <br /> i <br /> BUILDING CONTRACTOR: Ear l T-er\S-ey\ <br /> 42 <br /> 'DCD7 <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 81h X 11 SHEET OF PAPER. ANY INCOMPLETE OR 3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. 0 <br /> N <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) O a <br /> 'TI <br /> T Z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. n m <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m m <br /> NORTH(N). <br /> 0 <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 Z <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. IV <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. i <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER, BUILDER,CONTRACTOR, ETC.,THE PLANS 0 <br /> MUST BE SIGNED AND DATED BY THE OWNER. 0 <br /> F <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VER Irt �� <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. 1 APA 'it o <br /> CONDITIONS OF PERMIT: (Jpfll /T I <br /> 1 <br /> ISSUANCE.MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF�RM1'IvEr O <br /> C <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELIN . IISG V 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 <br /> SETBACK AREA. <br /> 5. <br /> m 0 T 0. o f m <br /> 6. m 3a)PF `DM <br /> D C <br /> 7. Z v, m0 <br /> m <br /> I declare that this application (including an accompanyingschedule has been examined b me and to the best of m —(n ' O <br /> PP ( 9 Y ) Y y 25 2 <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of 0 n in C <br /> o u . M <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize ) m $ : o : 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 /> 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 o <br /> authorized person to have access to the above described premises at any reasonable time for the purpose of inspection. m m o <br /> CD <br /> SIGN HERE <br /> (signature of owner or building contractor) (date) <br /> 7 . <br /> ZONING ADMINISTRATOR \J/m n'341Gal G <br /> \ d!Hf(A fA 6+N <br /> N OI N N O O <br /> L/-,23 ' 0WNSHIP PERMITSAY BE REQUIRED 'M <br /> ski � ��THIS PERMIT SHALL EXPIRE ONE Y YEAR FROM DATE OF ISSUANCE o o 0 <br />