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Burnett County 7410 Co.Rd. K, No. 102,Siren,WI 54872 Office of Zoning Administrator -0G) Z <br /> APPLICATION FOR LAND USE PERMITS ° <br /> 5T r <br /> c No <br /> OWNER R L 1 iQ <br /> as S TELEPHONE ( k Z' q2 3 ' 0 0 %CT 0 <br /> s ` m <br /> MAILING ADDRESS ZZb �, �tntntka�4 Pki-y Mthln�ar0((S AdnJ ���� 0 <br /> r m <br /> PROPERTY ADDRESS (0615-4L(o (26(.(26(. We ( Sky Lj1: 54 841 -3 <br /> 0 <br /> � <br /> LEGAL DESCRIPTION(see tax receipt) (,O 3 C S Lb/ m <br /> V 1 CD <br /> DWELLING/BUILDING ❑ GARAGE/ACCESSORY STRUCTURE ® ADDITION ❑ O m o <br /> TYPE OF PERMIT(S): ( 0 <br /> FILLING/GRADING ❑ CAMPING UNIT F SUBDIVISION ❑ 1 ,/ a <br /> STRUCTURE/ADDITIONUSE: QAYGIOfE? l� �. <br /> 0 <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; e '^ O I <br /> BUILDING CONTRACTOR: M i ke a vin e v I ea t1 �. <br /> D <br /> j !" <br /> m <br /> 4 <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 81/2 X 11 SHEET OF PAPER. ANY INCOMPLETE OR 3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. TO <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) <br /> O am <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. 8 Z <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m <br /> NORTH(N). <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 <br /> LAKE,STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. 1 Z <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 /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. ) C) <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER, BUILDER,CONT I/ R, ETC.,THE PLANS <br /> R. <br /> MUST BE SIGNED AND DATED BY THE OWNER. Z <br /> ° O <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICA ION MA �� o <br /> NEEDED. <br /> 5 0 <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. v Rn , <br /> SEP Z <br /> CONDITIONS OF PERMIT: 1 / o <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT N��C <br /> ISSUANCE. AA AA'' Av'TI <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE.2o'J�' G �,v' Y <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY (n <br /> PERMITTED. oIL <br /> 4. NO STRUCTURES, INCLUDING RETAI ING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER W <br /> SETBACK�AREA.� /',,,,_ � <br /> 5�� �Yl This structure to be used as private residential <br /> M (DrDpDO � <br /> 6.�'1�fe — lCf -v3 garage/storage only. Not to be used for human 0 3 a m n � rn <br /> habitation. CD c(0, <br /> 7. a <br /> Z N m o ' o <br /> P � <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the best of my E D <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of m n C <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize �r� (D o m <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- �J: : m: E O <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 ' B <br /> authorized person to have access to the above described premises at any reasonable time for the purpose of inspection. (D ' f <br /> T O <br /> SIGN HERE w <br /> (signat of owner or building Con tor) <br /> (date) o. <br /> ZONING ADMINISTRATOR <br /> in vi <br /> 0 M69 <br /> LnnNN0a <br /> TOWNSHIP PERMITS MAY BE REQUIRED UJ cn 0 (n v, 0 0 <br /> /�, ,, <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE 6 <br />