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Burnett County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administratoro 0 <br /> APPLICATION FOR LAND USE PERMITS 3 <br /> N <br /> C <br /> TELEPHONE <br /> / m <br /> � O <br /> MAILING ADDRESS ( GT r M <br /> 73a r ►gym ✓/ E n �o�» rvR�ri2,i 5 <br /> PROPERTYADDRESS <br /> .x.07 7 /3Lcch' P3U �: <br /> LEGAL DESCRIPTION(see tax receipt) SELL & T 'Yo Ci�L " �n V!9 <br /> m <br /> 2 � <br /> DWELLING/BUILDING ❑ GARAGE/ACCESSORY STRUCTURE ❑ ADDITION o <br /> TYPE OF PERMIT(S): a <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION ❑ ,I (�� U <br /> s 0� � <br /> O <br /> STRUCTUREIADDITIONUSE: O// <br /> (Home/Cabin; Commercial Business;Bedroom; Deck;etc.) <br /> m <br /> BUILDING CONTRACTOR: b ��FL <br /> 1 <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8'/i X 11 SHEET OF PAPER. ANY INCOMPLETE OR -n 3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. O <br /> M Hr\ <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) 0c <br /> In nC <br /> A <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. m o ` <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)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 mG 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. o <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. Q> <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. N <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC.,THE PLANS o Q <br /> MUST BE SIGNED AND DATED BY THE OWNER. ' <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN <br /> NEEDED. UJ <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. o <br /> CONDITIONS OF PERMIT: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT t <br /> ISSUANCE. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. 1 <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY <br /> PERMITTED. �J <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> 5. <br /> m W 0=1 '0i M0n0 m <br /> 6. B nm Fam <br /> o M C y N O = 3 <br /> Z mM to -� <br /> 7. O n <br /> =_ co. p <br /> 1 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 I am responsible for the detail and accuracy of m n en <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize m m o rn <br /> that this information 1 am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- <br /> sue a perm . further accept all liability which ma esult of the County of Burnett relying on this Information I am pyo m <br /> providing in his application. I agree to permis.c'o ffi 'als charged with administering county ordinances or other I ,o E <br /> authorized pe n o have access t the abo de r' d p mises at any reasonable time for the purpose of inspection. m o <br /> m <br /> CD <br /> Aft SIGN <br /> HERE <br /> (signatur owner or bbilding contractor) (date) <br /> ZONING ADMINISTRATOR " ' ' 6469 <br /> EA fA fA en N <br /> N NOO <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br />