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Burnett County 7410 Co.Rd.K,No.102,Siren,WI 54872 Office of Zoning Administrator M i; az <br /> APPLICATION FOR LAND USE PERMITS . <br /> OWNER F_- K0 W n L- TE PHoHE (d8 5- 7h/5 $ <br /> P <br /> MAILINGADDRESS a%64� &A/ <br /> , r <br /> Nn 3 <br /> PROPERTYADDRESS ,fig �0� �o ,/7Y AQ W C/SS/E/C <br /> WT 2 esn V I11 Pa8 1- Pec. /A/ �E SW x <br /> LEGAL DESCRIPTION(""tax receipt) OFSC 37/�57a IgE Sw) f <br /> DWELLINGIBUILDING Vr GARAGEACCESSORY STRUCTURE ❑ ADDITION ❑ o <br /> TYPE OF PERMR(S): pj <br /> FILLINGIIGRADING❑ CAMPING UNfT IDSUBDIVISION ❑ <br /> STRUCTURE/ADDRIONUSE: l..oNmf:�Rt[NL Paul/x/ESS AYH Og#F-r- P.6AFE me <br /> (HomefCabin;Commercial Business;Bedroom;Deck;etc.) m <br /> BUILDING CONTRACTOR SEP>I %bMAS <br /> V <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR � <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. m a <br /> A <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) O $ O <br /> T15 <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. m `D p <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(ESI AND ALL NEW BUILDINGS(NB)AND INDICATE <br /> NORTH(N). Or <br /> 2. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDINGS)TO ALL LOT LINES,(B)BUILDINGS)TO m c <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. <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND GRAINFIELD(DF),AND ALL DISTANCES TO <br /> BUILDINGS,ROADS,LAKE,LOT LINES. f <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. ry <br /> S. IF SEPARATE PUNS ARE SUBMITTED BY AN ARCHITECT,ENGINEER,BUILDER,CONTRACTOR,ETC.,THE PLANS <br /> MUST BE SIGNED AND DATED BY THE OWNER. ,� e <br /> G ? nIIS <br /> NOTE: BUILDINGISTRUCTURE LOCATIONS MUST BE STAKED 50 AN ONSITE VERIFICATION MAYBE DONE WHEN 3 9 <br /> NEEDED. <br /> THIS PERMIT SUBJECT TO ALL CONDITIONS LISTED BELOW. j <br /> CONDITIONS OF PERMIT: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 80 DAYS OF PER /� <br /> ISSUANCE. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION 15 RESTRICTED ALONGSHORE JUL �' Iyyyr 1 J <br /> 7 PNO ERMED. OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY BV -r�. a�otL�rLL <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATEE C NJ COUNT <br /> SETBACK AREA. CONING <br /> 5. OV ekho-n 0 an �7 W —p 't "c7F <br /> q mD�n <br /> �) tly � & X <br /> B. 8a. 0= <br /> 7-�- lW/� U W /'CMI f/W [L.t <br /> 1 daclaro that this application incl n an accompanyings dule has been examined b me and to the best of m <br /> w: m <br /> PP ( fl Y I Y Y ; <br /> all <br /> mtl balletcontained <br /> It b true,correct and complete. 1 any <br /> accompanying <br /> that I ch responsible for the detail and accuracyof <br /> ze ll <br /> all Inlormallon contained In this application(including anY accompanying schedule)and I further declare that I recognize O <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 i <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 promises at any reasonable time for the purpose of inspection. i g <br /> SIGN HERE <br /> pig tura of owner or but ar`or) (tln.) —, <br /> ZONING ADMINISTLOR mL�[.f Il` Joh ' •.T <br /> aa�+w+w <br /> Cr�'&u �88 <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br />