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Burnett County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator T m z <br /> APPLICATION FOR LAND USE PERMITS 3. <br /> AynI [' III N <br /> OWNER r `/o er IU,.1an �pn TELr=PHav1E o \ ( tt <br /> MAILINGADDRESS /A/CS"' �4Q I� IA.t'YI fes- 11l IV .SJ Y`Y� -- {O <br /> PROPERTYADDRESS / Ld n 1 ^ <br /> T C <br /> LEGAL DESCRIPTION(see tax receipt) � � � I r /�(5 \ 'L � < <br /> TYPE OF PERMIT(S): DWELLING/BUILDING <br /> ❑ GARAGF/ACCESSORY STRUCTURE ADDITICN ❑ c a <br /> FILLINGIG��R``ADING 1:1 CAMPING UNIT ElSUBDIVISION <br /> STRUCTUREIADDITION USE: � 6olr o <br /> (Ho Cabin;JCommercial Busrr Bess; Bedroom; Deck:etc.) <br /> BUILDING CONTRACTOR: �O/V CN hU /l�lb7QS C(�L a <br /> LA 4 <br /> N <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR T 3. II[.",LF <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. O m <br /> A <br /> DIRECTIONS FOR PLOT PLAN DRAWING (AERIAL OR TOP VIEW) p � <br /> T a <br /> Z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. T <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE 0r <br /> In m A <br /> NORTH(N). C _ n <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDINGI5)TO ALL LOT LINES,(B)BUILDINGS)TO ITIC_�' 3 <br /> CENTERLINE OF ROAD,(C)BUILDINGS)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 IST)AND DRAINFIELD Dr),AND ALL DISTANCES TO <br /> BUILDINGS,ROADS,LAKE,LOT LINES. <br /> 5. 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 <br /> MUST BE SIGNED AND DATED BY THE OWNER. - o <br /> o <br /> NOTE: NGISTRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN <br /> NEEDED. g <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. z 'pq <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. <br /> 4, NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> 5. <br /> A mO� � ODaOin <br /> 6' 3 n m " � � A <br /> Raw 3 <br /> ]. Z tli N O ra H <br /> I declare that this a lication (including an accompanyingschedule has been examined b me and to the best of my � ' d+; C <br /> P P ( 9 c 1 Y (yY . <br /> IT <br /> knowledge and belief it is true, correct and complete. I acknowledge that I am responsible for the detail and accuracy of ,� <br /> all information contained in this applies ion(including any accompanying schedule)and I further declare that I recognize V`P c - m <br /> that this information am pmv' i g "I a i lied upon by the County of Burnett Wisconsin in determining whether to is- m m <br /> sue a pemtit. I furtha accep a to i i h may be a result of the County of Burnett relying on this information I am J. m <br /> provltling In this appl ca ion I r e It county oHlcials charged with administering county ortllnances or other m <br /> authorized parson to a a e [ a described,premises at any reasonable time for the purpose of inspection. T <br /> ( Di <br /> SIGN HERE 1 <br /> ignar or..no,or building contractor) (eat <br /> ZONING ADMINIST OR <br /> TOWNSHIP PERMITS MAY BE REQUIRED lO o �n o an In u o <br /> THI MIT SHALL EXPIRE ONE YEAR FROM DAT�.,QF IrJUANCF1 " <br /> T1 �+ lP } {et OYY�I -+ N i( S �7D R.mr� t U W �rUIB ur 3 ')al ub <br />