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Iturneft County 7410 Co. Rd. K, No. 102, Siren,WI 64872 Office of Zoning Administrator v 0 z <br /> APPLICATION FOR LAND USE PERMITS 3 <br /> �* r <br /> N OM <br /> N <br /> C <br /> •, ii <br /> OWNER` Gr E�C� TELEPHONE <br /> HOME ADDRESS 77 /I/C�/YTj�f S)/7(�.� T� �_„O IVM4EZ,4 '� L.C' i' v r m <br /> / �cL �2S . / I o <br /> EMERGENCY/FIRE NUMBER 11-417 -7 ROAD NAME NKR /. -5;Y&Aq�7 ZJ�E! <br /> N5, s T38 R/g W h'G6rE� 6. ' n <br /> LEGAL DESCRIPTION (see tax receipt) c9l m <br /> DWELLING/BUILDING ❑ GARAGE/ACCESSORY STRUCTURE ADDITION ❑ PRIVY ❑ '�"UT rn 0 <br /> TYPE OF PERMIT(S): Cr r"`` <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION ❑ 5 <br /> STRUCTURE/ADDITION USE: Z-.1,6A-1,46Ei PLOD,tree/ FAFa I-I&AV 0' <br /> (Home/Cabin;Commercial Business; Bedroom; Deck;etc.) m <br /> m <br /> BUILDING CONTRACTOR: ©Rdl-15 3RV� 0 /V5TOZa-r/D/✓ <br /> v <br /> m <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 81AX 11 SHEET OF PAPER. ANY INCOMPLETE OR 3 Q <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) O c <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 <br /> NORTH(N). C c <br /> Ito 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO t11 <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 <br /> BUILDINGS,ROADS,LAKE,LOT LINES. C� <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. 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. 0 o I <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAYBE DONE WHEN q <br /> NEEDED. 2� 1 <br /> I <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. z0 <br /> CONDITIONS OF PERMIT: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT <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. �•1 <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> S TBACK IREA/n� �� / - / ,t ' <br /> 5. �I-lu '= y, or p or lt!1 !�O �t/�� fti �. � ;a� - 00+ d � 0 m <br /> 6. tp, �.0 4103_ <br /> Z : y at.2 <br /> 0 <br /> 7. <br /> y: m <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the best of my c ? C <br /> knowledge and belief it is true, correct and complete. I acknowledge that I am responsible for the detail and accuracy of o <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize m m : A <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin In determining whether to is- y O <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 county officials charged with administering county ordinances or other (, m <br /> authorized person to have access to the above described premises at any reasonable time for the purpose of Inspection. m <br /> m : <br /> (D : <br /> SIGN HERE 3--2-99 40 ' <br /> (sign re f ow=inontractor) (date) <br /> ZONING ADMINISTRATOR 40 <br /> 4040404+40 <br /> 11301K)ri0o <br /> 6/TOWNSHIP PERMITS MAY BE REQUIRED 0 0 0 0 0 0 0 <br /> 0000000 <br />