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Burnett County 7410 Co. Rd.K, No. 102,Siren,W154872 Office of Zoning Administrator a 0 0 <br /> APPLICATION FOR LAND USE PERMITS <br /> o <br /> w <br /> c <br /> OWNER RO r)Q I d O Q C4_)� TELEPHONE <br /> m <br /> HOME ADDRESS 11L416-1 No, Shore O ri ve f <br /> G�, sb(A-rq,Wz.�4��0 � <br /> EMERGENCY/FIRE NUMBER u nxcnl: ROAD NAME No , Shore D r iy e, <br /> .`c-h u., a 7 1 Cr <br /> LEGAL DESCRIPTIONt see tax receipt) i` <br /> ( P) T 3� N Q i8k1 Lo� � NoY'l�� 5�1or�. -�`��anc� ��� w <br /> C6 <br /> TYPE OF PERMIT(S):DWELLING/BUILDING—GARAGE/ACCESSORY STRUCTURE ADDITION ii <br /> Q: <br /> S. <br /> w <br /> SANITARY PRIVY FILLING/GRADING CAMPING UNIT SUBDIVISION— <br /> ca <br /> n i rn <br /> STRUCTURE/ADDITION USE: r of oaS rl e k6j ( (') n fi <br /> D <br /> fir <br /> (Home/Cabin; Commercial Business;Bedroom;Deck;etc.) a —S <br /> A PLOT PLAN MUST BE PROVIDED ON A SEPARATE SHEET OF PAPER. ANY INCOMPLETE OR ' `j <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. o <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) 70C `1 <br /> Z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. m <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE Cfir <br /> n <br /> NORTH(N). 4 <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES, (B)BUILDING(S)TO m ' �Oy <br /> CENTERLINE OF ROAD,(C)BUILDING(S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF LAKE, Z <br /> STREAM OR RIVER. o <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES TO BUILD- <br /> INGS,ROADS, LAKE, LOT LINES. `d <br /> 53 <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 <br /> MUST BE SIGNED AND DATED BY THE OWNER. <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED FOR ONSITE VERIFICATION BEFORE A PERMIT CAN BE p� <br /> ISSUED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. c i <br /> CONDITIONS OF PERMIT: n <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. <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY <br /> PERMITTED. <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN 75 FEET OF THE OHWM OF LAKES, <br /> PONDS,RIVER UNLESS SPECIFICALLY PERMITTED. <br /> 5. <br /> ;0 , m m 0 0 .0 <br /> 6. mA <br /> � 3n ° <br /> tCww0 <br /> 7. ? ' <br /> =y <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the best of my g C <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of C <br /> all information contained in this application(Including any accompanying schedule)and I further declare that I recognize i B i m <br /> that this Information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to Is- 1 ` 1 O <br /> i m i i <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 d <br /> providing in this application. I agree to permit county officials charged with administering county ordinances or other <br /> authorized person to have access to the above described premises at any reasonable time for the purpose of i.pspecuen. <br /> SIGN HERE <br /> (signature of wnowner or building contractor) DEC(date) <br /> �JI(Yl 11 i <br /> ZONING ADMINISTRATOR IG( �+ L 3i . <br /> i i i ' ' <br /> I . <br /> 'N NW ie iA fe+ <br /> N Nw N NN 04 <br /> V7 Vt O Vt Vt O O <br /> TOWNSHIP PERMITS MAY BE REQUIRED o 0 0 0 0 O 0 <br /> O OOOOOO <br />