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Burnett County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator � /o <br /> APPLICATION FOR LAND USE PERMITS . <br /> TO THE ZONING ADMINISTRATOR: The undersigned hereby makes application for a Permit for the work <br /> described and located as shown herein. The undersigned agrees that all work shall be done in accor. m <br /> dance with the requirements of the Burnett County Land Use Ordinance,Sanitation Code,and with all other 3. 2L <br /> applicable ounty Ordinances and t ws and regulations of the State of Wisconsin. H m <br /> c m <br /> OWNER ' / TELEPHONE <br /> lJ m <br /> HOME ADDRESSG';�Z <br /> EMERGENCY/FIRE NUMBER ROAD NAME r <br /> I <br /> LEGAL DESCRIPTION (see tax receipt) vd <br /> CONTRACTOR Q I r7l� <br /> 0 <br /> � a <br /> TYPE OF PERMIT(S): DWELLING/BUILDING GARAGE/ACCESSORY STRUCTURE ADDITION o ,<.- <br /> N <br /> O <br /> SANITARY PRIVY FILLIINNG/GRADINLG/ CAMPING UNIT SUBDIVISION v <br /> STRUCTURE/ADDITION USE: I� 7 /Y•�S I '� (j / IiS apoi&:_d (%jeAC,//jn!i- o ' <br /> (Home/Cabin; Commercial Business;Bedroom;Deck;etc.) <br /> A PLOT PLAN MUST BE PROVIDED ON A SEPARATE SHEET OF PAPER. ANY INCOMPLETE OR r 1 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. T <br /> O <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (Aerial or top view) <br /> O 3 <br /> a y <br /> 1. All required dimensions or distances to be shown or drawn to scale. o n <br /> 2. Show the location and size of all existing buildings (EB)and all new buildings (NB)and indicate m T. <br /> North (N). C <br /> 3. Show dimensions in feet of the following: (a) building(s)to all lot lines, (b) building(s) to centerline of m <br /> road, (c) building(s) measurement to the ordinary high water mark(OHWM)of lake, stream or river. <br /> 4. Show the location of the well (W), septic tank (ST) and drainfield (DF), and all distances to buildings, <br /> roads, lake, lot lines. <br /> 5. Indicate if a walkout basement is planned and show areas to be graded or filled. <br /> 6. If separate plans are submitted by an architect, engineer, builder, contractor, etc., the plans must be <br /> signed and dated by the owner. <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED FOR ONSITE VERIFICATION BE- <br /> FORE A PERMIT CAN BE ISSUED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. <br /> CONDITIONS OF PERMIT: o <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 z <br /> PERMITTED. 9 <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN 75 FEET OF THE <br /> 5 OHWM OF LAKES, PONDS, RIVER UNLESS SPECIFICALLY PERMITTED. <br /> 6. <br /> in (nT W r'DD y <br /> 7. a <br /> o,c �. mS R ELL in <br /> A <br /> A 6ny 5' <br /> N p tp 3 <br /> 8. Z <br /> 0 <br />