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Burnett County 7410 Co. Rd.K, No. 102, Siren,WI 54872 Office of Zoning Administrator -0 o 0 <br /> APPLICATION FOR LAND USE PERMITS 3 <br /> lrVT <br /> e ro v> )e 're W4 ) T ET <br /> OWNER Fr rz i k Te w z 1 I TELEPHONE <br /> MAILING ADDRESS 7115 7e wqd 7 /9d J I ren W1 s70 7 C9L <br /> r m <br /> 0 <br /> PROPERTY ADDRESS S Q t <br /> GT I e X Ia T-Ped r , <br /> -301 057, V .1&-7P 3&G, V 3a& ID `130 <br /> LEGAL DESCRIPTION(see tax receipt) w f po ',I o f S -7 d0 /0 0 ' 0 f S -7.2 0 d <br /> DWELLING/BUILDING ❑', GARAGE/ACCESSORY STRUCTURE ADDITION ❑ ( En 0 <br /> TYPE OF PERMIT(S): `r <br /> FILLING/GRADI/N�G ❑ CAMPING UyLT� SU_BDIVIS_ION ❑ S. <br /> T. <br /> T. <br /> STRUCTURE/ADDITION USE: t7Q,I'0-61 Qi OS) � C; 7 <br /> �/,(Home/Cabin;Commercial Business;Bedroom; Deck;etc.) m <br /> BUILDING CONTRACTOR: Allo e h l o-n d 6 u,1 011, )Ci 5 <br /> v <br /> m <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR T 3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. p y, <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) In o <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. m m <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE <br /> NORTH(N). y o A <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO rn v (Jp <br /> CENTERLINE OF ROAD,(C)BUILDING(S)'i MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF Z <br /> LAKE, STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. o <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES TO O <br /> BUILDINGS,ROADS, LAKE, LOT LINES. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED FILLED. ' N <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, Cpffl J/O�R, ETC., THE PLANS 2. <br /> MUST BE SIGNED AND DATED BY THE OWNER. / NPYHEN <br /> o F I <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERt� ATION HEN <br /> NEEDED. J <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. B ucP Jo <br /> CONDITIONS OF PERMIT: �A^� 9 g IIIJJJ <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERllpt 4 +O <br /> ISSUANCE. N, �, <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. NCj NTy Sub 1 <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY <br /> PERMITTED. <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> 5. &Lp ` ✓jr� <br /> � m m3 1.0 <br /> chi A oD. f m <br /> n m x m M <br /> 6 .�, mcy 0 � 3 <br /> ./• �-CSS/tom ! Z to O t0 <br /> 7. V O M G tI <br /> cn : M <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 <br /> all information contained in this application Including any accompanying schedule)and 1 further declare that I recognizem 0 0 <br /> that this information 1 am providing will be rolled 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 n 1 w <br /> �J <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 inspection. o <br /> CD <br /> } m <br /> SIGN HEREz �a �1�2Ccci It rr.Yl I��Q� d' [ m i <br /> signature of r building contrad (date) <br /> n X1 <br /> ZONING ADMINISTRATOR <br /> fA M fA fA� N <br /> N Ol N N O O <br /> Vy (T OOI (TOO <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br />