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Burnett County 7410 Co. Rd. K, No.102, Siren,WI 54872 Office of Zoning Administrator -0 02 <br /> APPLICATION FOR LAND USE PERMITS . (n <br /> N <br /> fi <br /> OWNER TELEPHONE <br /> i'. <br /> �r r-inar� Kornler �-I- a-1 8�l< <br /> i � <br /> MAILINGADDRESS �C��,J L"��e�rnU /l�Jla(UT'� O <br /> 0 <br /> PROPERTYADDRESS <br /> LEGAL DESCRIPTION(see tax receipt) S'_ <br /> l <br /> DWELLING/BUILDING ❑ GARAGE/ACCESSORY STRUCTURE ❑ ADDITION�R 0 O <br /> TYPE OF PERMIT(S): c <br /> l a <br /> FILLING/GRADIN//G��❑ CAMPING UNIT ❑ SUBDIVISION ❑ 5 <br /> STRUCTURE/ADDITION USE: . ° <br /> (Home nCm � Gedroo Deck � �— <br /> en (n <br /> y� m (F <br /> BUILDING CONTRACTOR: CJ lxlNer y <br /> v <br /> m <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN SY X 11 SHEET OF PAPER. ANY INCOMPLETE OR 3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. 0 <br /> m <br /> Illi A m <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) O n <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. n m p <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m :? <br />','... NORTH(N). o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B) BUILDING(S)TO m3 <br /> CENTERLINE OF ROAD,(C)BUILDING(S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF (3� 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 O <br /> BUILDINGS,ROADS, LAKE,LOT LINES. <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 0 Q <br /> MUST BE SIGNED AND DATED BY THE OWNER. O F (4,' , <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN » o W <br /> NEEDED. 91 <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. o -1 <br /> CONDITIONS OF PERMIT: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT N '� <br /> ISSUANCE. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. J O <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY C <br /> PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> 5. jS TBACK AREA. <br /> o add/fives./ b�drvd� s <br /> X ca) iumnmajE M <br /> 6. m F3 am `snmp <br /> a o m c N y o 3 <br /> 7. o ? � =f <br /> P m <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the best of my ` [ 2 ! O <br /> knowledge and belief it is true, correct and complete. I acknowledge that I am responsible for the detail and accuracy of d 5 N e <br /> all information contained in this application (including any accompanying schedule)and I further declare that I recognize E m $ E m <br /> (!�' :o <br /> that this Information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- <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 ` d `: o [ <br /> providing in this application. I agree to permit couqtj officials charged with administering county ordinances or other ` ,o E m <br /> authorized person to have access to the above de ri ed remises at any reasonable time for the purpose of Inspection. ' m <br /> [ t <br /> SIGN HERE ` n -F) <br /> �gna re of o o building con or) (d e) o <br /> of <br /> ZONING ADMINISTRATOR <br /> G�6i fA 63 fA�N <br /> O N U W W N O <br /> TOWNSHIP PERMITS MAY BE REQUIRED O N O U N N O <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE V <br />