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Burnett County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator m 0 4 0 <br /> APPLICATION FOR LAND USE PERMITS 3 <br /> C��•sl..,., 7f5 781 7-Tr-f y �� <br /> OWNER r drys/I^a Jr�rk//e��r SLE�E���r��y/(Jliff 76l 7-939Cq <br /> - o :S^ ' <br /> MAILINGADDRESS 3q?v rAI'n� �IYcl4 2/61b'y J YV/ %r/JV _ -_ L,F.O <br /> �, <br /> -/(/Tnn y1 <br /> PROPERTY ADDRESS fA ,Cel 49,02 y, j16 Q3 cov ,, Z10-7- <br /> /qj� T St/s'Ic, <br /> LEGAL DESCRIPTION(sea tax receipt) 11/0-If /W;;� yo❑�rngi 2 <br /> L-EUUNGMUILDINGA GARAGEIACCESSORY STRUCTURE ElADDITION <br /> TYPE OF PERMIT(S): 1 <br /> FILLINGIGRAADIN/G LJ CAMPING UNIT ❑ SIIBGNISION ❑ _ (� <br /> STRUCTUREIADDITION USE: <br /> (Home/Cabin: Commeroial Business; Bedroom', Deck; etc.) r <br /> BUILDING CONTRACTOR: <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8X X 11 SHEET OF PAPER. ANY INCOMPLETE OR m <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. O� N <br /> bnsi CL o <br /> QI El? CTIDNS FOR PLOT PLAN DRAWING' (AERIAL OR TOP VIEW) r '$ <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(ED)AND ALL NEW BUILDINGS(NB)AND INDICATE C _ O <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)BUILDINGS)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF z <br /> LAKE,STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. ° <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. w Q <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. 1 N <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER,BUILDER,CONTRACTOR,ETC.,THE PLANS O y <br /> MUST BE SIGNED AND DATED BY THE OWNER. n £ <br /> o � <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAYBE DONE WHEN q _ <br /> NEEDED. T� <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. o /V <br /> CONDITIONS OF PERMIT: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 66 DAYS OF PERMIT <br /> ISSUANCE. <br /> W <br /> 2. REMOVAL CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. <br /> 3, NO GRADING <br /> OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY �y(.1; p <br /> PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS,ETC., ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> a. F(CcO,s S[k-�f �sfee!- fi om DH-wm panbu�r� F�owa9�- <br /> JJ z CMM maim <br /> 2 R Nom . <br /> Z A <br /> 7. r� m <br /> I declare that this application (includingany accompanying schedule) has been examined by me and to the best of my e C <br /> knowledge and belief it is true, correct and complete. I acknowledge that I am responsible for the detail and accuracy of ; m ! "'{ A <br /> all information contained In this application(including any accompanying schedule)and l further declare that I recognize _ n Q <br /> that this information I am providing will he railed upon by the County of Burnett Wisconsin in determining whether to le- m <br /> �: <br /> sue a permit. I further accept all liability which may bea result of the County of Barren relying on this information I am <br /> providing In this application. I agree to penult county officials charged with administering county ordinances or other ,o u <br /> authorizetl paean t have access to the abov tleacribad premises at any r¢asonable time for the purpose of Inspection. 'n <br /> SIGN HERE � � r� <br /> 7 <br /> (sig�wre ofower or b�y�ilrtl�i�n9 contractor) (d rel <br /> ZONING ADMINISTRATOR �llm F140 ✓Gln VIII,7-5 <br /> IU $rnouuuo <br /> TOWNSHIP PERMITS MAY BE REQUIRED O <br /> _LHIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF I SUANCE <br /> Wmr+ d-le4wtra led -lv Csre�ory wld;rer r7-19-0.6 <br />