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0 <br /> Burnett.County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator d o off` <br /> APPLICATION FOR LAND USE PERMITS w 3. <br /> ° <br /> TO THE ZONING ADMINISTRATOR: The undersigned hereby makes application for a Permit for the work <br /> z <br /> described and located as shown herein. The undersigned agrees that all work shall be done in actor- 3 <br /> dance with the requirements of the Burnett County Land Use Ordinance,Sanitation Code,and with all other - o <br /> applicable County Ordinances and the laws and regulations of the State of Wisconsin. Hrt <br /> /D <br /> OWNER S O k -� S gT�.) TELEPHONE 1,Q� h 2 y o <br /> '1 ! 1 v <br /> HOME ADDRESS ^7 ` f C� LCL yl �.�, 2,�.rsl� �, W-7 59%3 <br /> EMERGENCY/FIRE NUMBER 7 .5t � ROAD NAME 1 4K/ v I �uJ Y <br /> LEGAL DESCRIPTION (see tax receipt) 4d-b /h/1/ ?/ (// 131,140' �IOcc ( gexd Sb 1 <br /> CONTRACTOR ,SELF d J ~L[$' <br /> o <br /> o <br /> TYPE OF PERMIT(S): DWELLING/BUILDING GARAGEIACCESSORY STRUCTURE—&—ADDITION�_ � <br /> y r <br /> 0 <br /> 0 <br /> SANITARY PRIVY FILLING/GRADING CAMPING UNIT SUBDIVISION v <br /> STRUCTURE/ADDITION USE: V'oqiyr <br /> (Home/Cabin; Commercial Business; Bedroom;Deck;etc.) <br /> r <br /> o_ <br /> A PLOT PLAN MUST BE PROVIDED ON A SEPARATE SHEET OF PAPER. ANY INCOMPLETE OR ; <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. n <br /> O L <br /> z g <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (Aerial or top view) O 3 <br /> -n v c <br /> T o a%� <br /> 1. All required dimensions or distances to be shown or drawn to scale. n <br /> 2. Show the location and size of all existing buildings(EB)and all new buildings (NB)and indicate m <br /> North (N). m <br /> I <br /> 3. Show dimensions in feet of the following: (a) building(s)to all lot lines, (b) building(s)to centerline of <br /> road, (c) building(s) measurement to the ordinary high water mark(OHWM)of lake, stream or river. r <br /> 4. Show the location of the well (W), septic tank(ST) and drainfield (DF), and all distances to buildings, (, <br /> roads, lake, lot lines. CA <br /> 5. Indicate if a walkout basement is planned and show areas to be graded or filled. <br /> 6. If separate plans are submitted by an architect, engineer, builder, contractor, etc., the plans must be G <br /> signed and dated by the owner. Cn <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED FOR ONSITE VERIFICATION BE- <br /> FORE A PERMIT CAN BE ISSUED. N(7 ry <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. <br /> CONDITIONS OF PERMIT: o <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT W <br /> ISSUANCE. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY y n <br /> PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN 75 FEET OF THE <br /> OHWM OF LAKES, PONDS, RIVER UNLESS SPECIFICALLY PERMITTED. <br /> 5. <br /> f <br /> 6. <br /> � o.M <br /> y <br /> a <br /> w0 aasvM o c �.w � m <br /> ao <br /> 7. � y onfc' � <br /> Z fo : Tcn : 9 <br /> 8. P <br /> Z : <br />