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Burnett County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator v O Z <br /> APPLICATION FOR LAND USE PERMITS 3 <br /> r <br /> N 0 O <br /> OWNER l 'pIaGl F0 6�2_ oli,4,e✓ ) TELEPHONE a <br /> v a <br /> MAILINGADDRESS - O ' <br /> f <br /> PROPERTYADDRESS <br /> IICC /� /.1 <br /> LEGAL DESCRIPTION(see tax receipt) kot ll /r wri,,/ ,t_-w 4u �i A, f-1'5si- <er1 V�v <br /> m <br /> DWELLINGIBUILDING ❑ GARAGE/ACCESSORY STRUCTURE ❑ ADDITION C 0 <br /> TYPE OF PERMIT(S): <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION <br /> STRUCTURE/ADDITION USE: �/A.,14-, *am C le, Ay GA//n , ��� o Tv <br /> J <br /> (Ho /Cabin; Commeris6l Business; Bedroom; Deck; etc.) <br /> m <br /> BUILDING CONTRACTOR: <br /> m <br /> v <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR IR <br /> 3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. -n <br /> DIRECTIONS FOR PLOT PLAN DRAWING, (AERIAL OR TOP VIEW) p y <br /> � o <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. n Z <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m <br /> NORTH(N). C o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(5)TO Ch m 93 <br /> CENTERLINE OF ROAD,(C)BUILDING(S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF U1 (n ") Z <br /> LAKE, STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. 1 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. <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. 5 0 1 <br /> o 96 <br /> NOTE: BUILDINGISTRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN 96 <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. P C <br /> CONDITIONS OF PERMIT: 1`v <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 O <br /> PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> 5. <br /> M co Orr DODO V <br /> m C m d m o. F M6. m x 3 n m F a m A <br /> a C <br /> omN ." o ?+ <br /> 7, Z Cin � o <br /> 1 declare that this application (including an accompanyingschedule has been examined b me and to the best of my ( O <br /> PP (� 9 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' Cn u C <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize f m f m <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- ('� `� rn E G <br /> sue a permit. I further accept liability which may be a result of the County of Burnett relying on this information I am ! m o <br /> providing In this application. agree to permit county officials charged with adm er ~E ' '^ <br /> ui <br /> authorized perso to ave a to the above described premises at any reason e r r <br /> om i a <br /> m D <br /> SIGN HERE n <br /> (s' natuof ow7r building contractor) IA,� .._( <br /> ZONING ADMINISTRATO <br /> BURNETT COUNTY D O N N W W N O <br /> TOWNSHIP PERMITS MAY BE REQUIRED ZONING pf o u o u u o <br /> THIS PERMIT SHAL EXPIRE ONE YEAR FROP DATE OF I UANCE <br />