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Burnett County 7410 Co. Rd.K, No. 102, Siren,WI 54872 Office of Zoning Administrator _ o o <br /> APPLICATION FOR LAND USE PERMITS 3 <br /> N O <br /> N <br /> C <br /> OVVNER y 'CJ I� TELEPHONE <br /> MAILING ADDRESS 67-M <br /> PROPERTY ADDRESS �Z6 73 ons' V N Cyr dl- <br /> LEGAL DESCRIPTION(see tax receipt) <br /> DW LkINGq//BpUIIIDING GARAGE/ACCESSORY STRUCTURE ❑ ADDITION ❑ 10W)II SAo <br /> TYPE OFPERMIT(S): ot3 �(of8 <br /> FILLINGIG NG ❑ CING UNIT SUBDIVISION <br /> El <br /> STRUCTURFADDITIONUSE: T Cl J 16 ' O 2uSk I <br /> �Vv fyda <br /> (6 cut <br /> aH. <br /> (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) (n ^n <br /> BUILDING CONTRACTOR: TSL �CII�IP <br /> 0 <br /> m <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR 3 rt 3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. O <br /> N,Sc ,u M <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) �u r�k ,i� oat'k <br /> -n a �! <br /> �G Z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. I N n :b[ ,� <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m �° <br /> NORTH(N). co o <br /> m <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO 3 <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. ° <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. e� <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. N <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. �� E n <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE I E DONE WHEN ° YJ <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. o t I <br /> CONDITIONS OF PERMIT: <br /> t. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DA IT <br /> LA <br /> ISSUANCE. �f <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG s�iEr'N� UN�Y <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALL Q <br /> PERMITTED. M <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. d <br /> 5. <br /> (D Wm <br /> 3amOx <br /> 0 20 1 <br /> 7. o z ;a <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the best of my c C <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of a ^ A <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize m O M <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- <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 <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 top above described premises at any reasonable time for the purpose of inspection. r m o <br /> U m i m <br /> SIGN HERE <br /> ( n ture of ow building contractor) (date) 7.1 <br /> ZONING ADMINISTRATOR ` <br /> di EAEA W 0 N <br /> N N N N O O <br /> N 0 01 01 0 0 <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br />