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Burnett County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator T G Z <br /> APPLICATION FOR LAND USE PERMITS 3 p <br /> +k+—s�u= -K-e.- TELEPHONE <br /> MAILINGADDRESS bF <br /> e 0 iS` 1e M� tri Y <br /> w X115 , 0 <br /> PROPERTY ADDRESS -els _,� <br /> �fe, 545 t -V v NM1y AO .3 H351 i/aivxvi i8 <br /> LEGAL DESCRIPTION(see tax receipt) dot I cc/44fe,A <br /> 1LA11L7L. f gs, ff a'14 a,pit, - r , `A <br /> DWELLING/BU�ILOING ❑ GARAGE/ACCESSORYSTHUCTURE XADDITION <br /> TYPEOFPERMIT(S): IOWAs,Ip op <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION ❑ R�„� L-7 _ <br /> STRUCTUREIADDITIONUSE. — <br /> t1 ( me/Cabin: Commercial Business;Aedroom,Dock; etc.) <br /> BUILDING CONTRACTOR: 11Jr7W Mgvl �Y� _ yh LJ,� r -yx <br /> A PLOT PLAN MUST BE PROVIDED LEAST AN B',X717%HEET OF PAPER. ANY INCOMPLETE OR <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED.NED. O H <br /> A <br /> DIRECTIONS FOR PLOT PLAN DRAWING (AERIAL OR TOP VIEW) O <br /> T 4 <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NS)AND INDICATE n n <br /> NORTH(N). C <br /> 3. SNOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDINGS)TO ALL LOT LINES,(B) BUILDING(S)TO m `9 <br /> CENTERLINE OF ROAD,(C)SUILDING(S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF IV <br /> LAKE,STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. o <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND GRAINFIELD(DF),AND ALL DISTANCES TO <br /> BUILDINGS, ROADS, LAKE, LOT LINES. F O <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 ls7 <br /> MUST BE SIGNED AND DATED BY THE OWNER. - o <br /> p <br /> NOTE: BUILOINGISTRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAYBE DONE WHEN <br /> NEEDED. EL <br /> - <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. z 11 1 <br /> CONDITIONS OF PERMIT P h' <br /> I <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT ) <br /> ISSUANCE. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. (n 1 <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY <br /> PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK (AIREA. <br /> 5. mu's V-C... 5LAD/ J ' D' • 1 VVCfLanVW <br /> A COOd npnQ <br /> 6_ This structure to be used as private residential R x 3 o A " x a <br /> T garagelstorage only. Not to be used for human ° a » — <br /> habitation. or A <br /> I tl¢dare that this application(including any accompanying schedule) has been examined by me and to the best of my, <br /> knowledge and belief it is true, correct and complete. I acknowledge that I em responsible for the detail and accuracy of �: I 'm n <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize E in <br /> that this information I am providing will be felled upon by the County of Burnett Wisconsin in determining whether to is. ax G <br /> sue a permit. I further accept all liability which may be a result of the County of Bum."relying on this Information I am <br /> providing in this application. I agree to permit county officials charged with ad or _ <br /> authorized person to have access to the above described premises at any reaso 1 77d ' s <br /> SIGN HERE (algnplum of o or builping conlnctor)ZONING ADMINISTRATOR V �r nl Y1 <br /> BURNETT COUNTY �' v <br /> TOWNSHIP PERMITS MAY BE REQUIRED ZONING o N mo rn N 8 <br /> THIS PERMIT SH LL EXPIRE ON YEAR FRS+ DATE OF ISS ANC <br /> PUmI �� l2lerlraLelaJ -1v tspv�m�r UConSr. e/,on <br />