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Burnett County 7410 Co. Rd. K, No. 102,Siren,WI 54872 Office of Zoning Administrator -V 0 Z <br /> APPLICATION FOR LAND USE PERMITS 3 <br /> r.. <br /> VT O <br /> N <br /> OWNER <br /> STEVE-: -P )<&-FHY M>tTCA), TELEPHONE 7/S `YzS ' 7 7 Z9 p <br /> m <br /> MAILINGADDRESS S s j Soc) L)NE S-4'(}) (p v o <br /> PROPERTY ADDRESS J)t°d <br /> LEGAL DESCRIPTION(see tax receipt) O r L I PS E TWN 0tz Rz Qj <br /> CID <br /> I��ppI�'' <br /> DWELLING/BUILDING Imo], GARAGE/ACCESSORY STRUCTURE ❑ ADDITION ❑ I (� o <br /> TYPE OF PERMIT(S): 'O1� `v <br /> FILLING/GRADING 11 CAMPING UNIT ❑ SUBDIVISION ❑ W y. , <br /> 4i <br /> STRUCTURE/ADDITION USE: C AG) N o <br /> n (Home/Cabin; Commercial Business;Bedroom; Deck;etc.) W IW <br /> BUILDING CONTRACTOR: Ia RA 1J EN CONSTP-U CTt O N <br /> v <br /> CD <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR 3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. T <br /> M N <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) O n <br /> T <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. 0 � A <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m <br /> NORTH(N). <br /> n <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO m <br /> CENTERLINE OF ROAD,(C)BUILDING(S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF <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 (� <br /> BUILDINGS, ROADS, LAKE, LOT LINES. I `2 <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. C) N <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC., THE PLANS 0 <br /> MUST BE SIGNED AND DATED BY THE OWNER. qZ <br /> �) F <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATIQN o <br /> NEEDED. f/ ��// c�� <br /> v5 vv <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. _� A / <br /> CONDITIONS OF PERMIT: ^^''��OO 7 <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT l <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. 20 NG UNTy <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY <br /> PERMITTED. ou <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> 5 � <br /> M diu0vnvv <br /> 6. 03Ox <br /> (D Cy " 033 <br /> 7. o 0� =1 <br /> o n� <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the best of my �j A <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy ofd `o : cn C <br /> cn <br /> all information contained in this application(including any accompanying schedule)and I further declare that 1 recognize a m o : mm <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 applica ' 1 agree to pg;mjj county officials charged with administering county ordinances or other o <br /> authorized person to hgrie aceNs to Rie aKdveldescribed premises at any reasonable time for the purpose of inspection. fD C <br /> m m <br /> SIGN HERE n <br /> (sig <br /> na <br /> tu <br /> re of ow er r b ilding contractor) (date) <br /> ZONING ADMINISTRATOR �l IJl1 l�Yl� 0 ' <br /> u) <br /> I f1.9 —EA EA N 0 N <br /> /yl�t f(^�J/ ` ��/,/�/-J� <br /> N(T NN O O <br /> VI O OI Ot O O <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> Ste)knv <br />