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Burnett County 7410 Co. Rd. K, No.102,Siren,WI 54872 Office of Zoning Administrator v G) z <br /> APPLICATION FOR LAND USE PERMITS g �° <br /> _CL <br /> fes^ o <br /> OWNER Y 1 Y1 d Yl >y(1 'CU 1,1 l TELEPHONE 1\`3 Cn5(n- -J1 I Z ^p J <br /> m (� <br /> MAILING ADDRESS CA%5 LV 9(� O� <br /> 0 <br /> PROPERTY ADDRESS r ) <br /> 3E '14 5E y4 -k"e�trV-�Ahzle m i-Wept 33-Ft. ,% <br /> LEGAL DESCRIPTION(see tax receipt) -csP-yy SIE I-L {t 4t \vs Eavd- VXkd'0-0 +-t,r&q'Che rk . Un <br /> 1 g <br /> TYPE OF PERMIT(S): <br /> DWELLING/BUILDING 0 GARAGE/ACCESSORY STRUCTURE ❑ ADDITION ❑ <br /> � 5 <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION ❑ a <br /> 1-fomc. (.t J/ c c�1Q . i y <br /> STRUCTURE/ADDITIONOSE: M o <br /> ( ome/Cabin; ComMercial B11biness; Bedroom; Deck;etc.) co � <br /> BUILDING CONTRACTOR: Z 1 M <br /> K Ilex <br /> Z -a <br /> v <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 835 X 11 SHEET OF PAPER. ANY INCOMPLETE OR 3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. In <br /> .� yp <br /> DIRECTIONS FOR PLOT PLAN DRAWING (AERIAL OR TOP VIEW) p CD <br /> n a <br /> o <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. Zm <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE <br /> NORTH(N). C 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 R <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 t p <br /> BUILDINGS,ROADS, LAKE, LOT LINES. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. (3a N L <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER,BUILDER,CONTRACTOR, ETC.,THE PLANS I 6 V i <br /> MUST BE SIGNED AND DATED BY THE OWNER. " 0 1 <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VEf 1BE DONE WHEN o <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. ��` a �1 <br /> CONDITIONS OF PERMIT: Mqy <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS A MIT <br /> ISSUANCE. "rl1V <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHOR1�c ( Y <br /> 3. PERMITTED. <br /> OR ITDENDG OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALL /V�) 0QA(' _ <br /> GN <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. C <br /> �d o vaov <br /> 6. CD W m 3c.omF ° mM <br /> 'o CD <br /> 7. Z inmU <br /> O A G <br /> I declare that this application (including any accompanying schedule)has been examined by me and to the best of my :: ,a O <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy ofm n in e <br /> CL to <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize (l'\�' cD E : (5 : m <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- `NJ. D <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 m' <br /> authorized person to have access to the above described premises at any reasonable time for the purpose of inspection. ' m W: <br /> -n O <br /> SIGN HERE <br /> 5_a4,o <br /> (signature of owner or building-confir ctor) (date) ` a <br /> ZONING ADMINISTRATOR �Yl /a <br /> U -�` 69 6)fA EA N <br /> �I <br /> 19-A <br /> TOWNSHIP PERMITS MAY BE REQUIRED Q5 (n N C> 0 <br /> � �'�I l RIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br />