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Burnett County 7410 Co. Rd.K, No. 102,Siren,WI 54872 Office of Zoning Administrator - o 0 <br /> APPLICATION FOR LAND USE PERMITS 3 <br /> n O \ <br /> N v <br /> C <br /> �i d <br /> OWNER TELEPHONEg/JI <br /> (D O <br /> MAILINGADDRESS 0 <br /> T 0 \ <br /> PROPERTYADDRESS <br /> -2) <br /> LEGAL DESCRIPTION(see tax receipt) ®[��/J) ,�Ji-/ate �) ) �j� O m <br /> �oc3 "'77 ~ <br /> DWELLING/BUILDING ARAGEA1CCESSORYSTRUCTURE ADDITION' <br /> rn ° <br /> c <br /> TYPE OF PERMIT(S): <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION ❑ <br /> G N \ <br /> STRUCTURE/ADDITION USE: C / ' S) o v <br /> (Home//Cabin;Commercial Business;Bedroom; Deck;etc.) ori <br /> BUILDING CONTRACTOR: 42 <br /> v <br /> m <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR _n 3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. 0 m Q> <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) OT n <br /> T O <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. m <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE C <br /> NORTH(N). ° <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO(N). ( <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 I <br /> BUILDINGS, ROADS,LAKE, LOT LINES. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. Nl , <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. �O <br /> 0 <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN ° <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. o <br /> CONDITIONS OF PERMIT: S) <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT O� <br /> UJI <br /> ISSUANCE. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. <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. �(\ �I CC <br /> L`4 m 0r- 0n0m <br /> m 3 x ; � M <br /> 6' v m CN o 3 <br /> Z y O O 0 <br /> 7. ° n> m <br /> _�] [ <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the best of my A <br /> 1' 2 ID <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of n c 0� <br /> all information contained in this application(including any accompanying schedule)and 1 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- C) <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 <br /> providing in this application. I agree to permit couny officials charged with administering county ordinances or other o <br /> authorized person to h ccess to the above des d premi es at any reasonable time for the purpose of inspection. m Or <br /> m m <br /> SIGN HERE n <br /> (sig ner or building contr t ► (date) <br /> ZONING A INISTRATOR <br /> N) 0N00 <br /> U1 <br /> TO SHIP PERMITS MAY BE REQUIRED (TO (TOO <br />