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OIL corq)• <br /> Burmett County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator m P o a <br /> APPLICATION FOR — LAND USE — PERMITS f <br /> m <br /> TO THE ZONING ADMINISTRATOR:The undersigned hereby makes application for a Permit for the work descri tl and <br /> located as shown herein. The undersignedagrees that all work shall be done in accordance with the requirement of the <br /> Burnett County Land Use Ordinance,Sanitation Code,and with all other applicable County Ordinances and the la and <br /> regulations of the State of Wisconsin. j m <br /> A <br /> y�{){y� n O <br /> OWNER QOa/_rrY CMM TrT TELEPHONE 11S ' b3S- S2 £ <br /> J t DGYtt Hnr Trf o <br /> ��r,�ttrrrrIS 'R <br /> ADDRESS Izs$ KOWtA. SF0DNEfz jWI• S7SoI m <br /> EMERGENCY/FIRE NUMBER ROAD NAME <br /> LEGAL DESCRIPTION (see tax receipt) <br /> I N <br /> CONTRACTOR ( n <br /> TYPE OF PERMIT(S): DWELLING/BUILDING GARAGE/ACCESSORY STRUCTURE ADDITION " ) o <br /> O <br /> SANITARY PRIVY FILLING/GRADING CAMPING UNIT SUBDIVISION o °< <br /> 0 <br /> STRUCTURE/ADDITION USE: �/ IIvU ° <br /> (Home/Cabin;Commercia Business;Be room;Deck;etc.) Z o <br /> o c <br /> iL la <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (Aerial or top view) <br /> 1. Show the location and size of all existing buildings (EB) and all new buildings (NB) and Indicate Nort (N). r <br /> 2. Show the location of the well (W),septic tank (ST),and drainfield (DF). o <br /> 3. Show dimensions In feet of the following:(a)building to all lot lines,(b)building to center line of road,(c) uliding g <br /> measurement to the ordinary high water mark of lake,stream,or river. 0 <br /> 4. If separate plans are submitted by an architect,engineer,builder,contractor,etc.,the plans must be sighed and 9 <br /> dated by the owner. C o <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED FOR ONSrrE VERIFICATION BEFORE A PERMIT CAN BE ISSUED. 7i o to <br /> �_ Z a <br /> PLOT PLAN ° <br /> 0 <br /> I 1 <br /> i I N <br /> J � <br /> 0 <br /> I� <br /> ° I <br /> i o � <br /> ) <br /> Z <br /> I` <br /> T <br /> (�N'D <br /> £�n[DDnM <br /> m <br /> ELr <br /> CONDITIONS OF PERIT: g <br /> M '8: ; <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT ISSUANCE. o ffi '� <br />