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New Building Fiiling6rading <br /> Addition Moving I <br /> O <br /> Sanitary Camping Unit G) <br /> Privy Subdivision < <br /> m sStructure Use: w A Poles J o <br /> (family home/cabin,garke,addition etc.) c o <br /> Directions for plot plan drawing: <br /> 1.Show the location and size of all existing buildings(EB)and all new buildings <br /> Z.Shaw the location Of the well (NB)and indicate North(N). <br /> (yll),septic tank(ST),and drainfield(DF). <br /> 3. Show the location of any lake or flowage-if within 1000 ft.and the location of any river or stream-if within 300 ft. n <br /> 4. Show dimensions in feet of the following (a)building to all lot liras,(b)building to center line of road,(c)building to lake, <br /> river or stream,if applicable. <br /> t3. If,separate plans are submitted by an architect,engineer,builder,contractor,etc.,the plans must be signed and dated by <br /> the owner. 6. Provide <br /> PLOT PLAN <br /> 3 <br /> ` ' a W <br /> J?lt Inc*.,,12+t- L/p� c <br /> --------------------�rQQ OFL <br /> 1 a <br /> CIO <br /> 90' _ f <br /> Yo' <br /> 39 O <br /> r <br /> ioa yJ <br /> mer {` r✓�" <br /> a <br /> 9169 �r <br /> �r , Pr 104+e. � m W s W m> m <br /> f CL m <br /> S E m C m O 7 <br /> Z a ; � moR <br /> O <br /> Ni ? 2 i C <br /> declare that this application (including any ccompanying schedule)has been examined by me and to the best of my <br /> towledge and belief it Is true,correct and con plate.l acknowledge that 1 am responsible for the detail and accuracy of all <br /> formation contained in this application(inclu Jing any accompanying schedule)and 1 further declare that I recognize that ' i p <br /> is information I am providing will be relied u n by the County of Burnett Wisconsin in determining whether to issue a <br /> MR.I further accept all liability which may b I a result of the County of Burnett relying on this information I am providing i <br /> this application. I agree to permit county o ficials charged with administering county ordinances or other authorized c l <br /> arson to have access to the above describeRpromises at any reasonable time for the purpose of inspection. <br /> (� <br /> GN HERE K. � �► q <br /> t of own r ,'/Ing contractor) (dat ) <br /> NdINGADMINIRTRATAR <br /> (R �/J9'! /,/�f���� Q 205 <br /> I <br />