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Burnett County 7410 Co. Rd. K, No. 102, Siren,W154872 Office of Zoning Administrator - o 0 <br /> APPLICATION FOR LAND USE PERMITS 3 <br /> r <br /> 0 <br /> OWNER y{,/ )+I n e C�YL / G./c-L /vLS TELEPHONE <br /> r p ,�1 y�/� rc �c.I m <br /> MAILINGADDRESS / yJ 172x14)) $ / /',C r�f� / �� J /UZ <br /> I r � <br /> a 7�o S n-Let '7 le 1 12c(. 1.t- e.b 4e <br /> PROPERTY ADDRESS J <br /> LEGAL DESCRIPTION(see tax receipt) ° <br /> SEC; . �� 'rUwvr z/d RQ vuia 1-7&j LU{S �c 9 -)16=1-44 (� <br /> DWELLING/BUILDING 1:1GARAGE/ACCESSORY STRUCTURE X ADDITION / 3 VIP <br /> TYPE OF PERMIT(S): C <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION ❑ n <br /> � r <br /> STRUCTURE/ADDITION USE: Ce A/C KFC G 0 v <br /> (Home/Cabin; Commercial Pusiness; Bedroom; Deck; etc.) W SI <br /> m <br /> BUILDING CONTRACTOR: SN n n N S/jam (�%�t✓T!/ ,^, <br /> ,2 <br /> v � <br /> m <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR 3 C <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. O m CJ <br /> A y <br /> DIRECTIONS FOR PLOT PLAN DRAWING, (AERIAL OR TOP VIEW) O m <br /> -n n b <br /> m z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. n m z A <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m `° <br /> NORTH(N). <br /> O <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO m a <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. * C \ <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. N W <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER,BUILDER,CONTRACTOR, ETC.,THE PLANS <br /> MUST BE SIGNED AND DATED BY THE OWNER. o t <br /> o 0 <br /> NOTE: BUILDINGISTRUCTURE LOCATIONS MUST BE STAKED 50 AN ONSITE VERIFICATION MAY BE DONE WHEN 0 <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. Zi v 1 <br /> CONDITIONS OF PERMIT: o O <br /> ( G <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT ( <br /> ISSUANCE. C <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. 0 <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY ^ <br /> PERMITTED. v <br /> 4. NO STRUCTURES, INCLUDING RETAININIn Wol I c crr Al I nMIP I WITHIN THF Prr)i IIRFrI WGTFR <br /> SETBACK AREA. <br /> 5. This structure to be used as private residential <br /> garage/storage only. Not to be used for human V m 0 r yD 0 DO mO <br /> 6. m d 0 m o7n <br /> yy ^habitation. a <br /> N CO A7. C N <br /> O (� <br /> O <br /> 1 declare that this application (including an accompanyingschedule has been examined b me and to the best of m 'i <br /> A <br /> PP ( 9 Y ) Y Y <br /> knowledge and belief it is true, correct and complete. I acknowledge that I am responsible for the detail and accuracy of m n <br /> all Information contained in this application (including any accompanying schedule)and I further declare that I recognize m C m <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- cn l7 <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: 0 : <br /> providing in this application. I agree to permit county officials charged with administering county ordinances or other ,o <br /> authorized person to have access tgnheabove descrtb d premises at any reasonable time for the purpose of Inspection. ` m <br /> TI n <br /> m <br /> a : <br /> SIGN HERE S-�9-D a <br /> ( n ture of r or buil4A contractor) (date) <br /> ZONING ADMINISTRATOR ' E <br /> G �fA fA fA fA�N <br /> QO N N W W N O <br /> O (r O N U (T O <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF 1 SUANCE <br /> ��mz { 4 1FAFr awted-�o I,t)a,7,, ,7cjL/rnq (v-aro6 <br />