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Burnett County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator -U 0 0 <br /> APPLICATION FOR LAND USE PERMITS 3 <br /> r <br /> OWNER G:�t S 'f w rtA/D �( s TELEPHONEr�- <br /> O . v <br /> MAILINGADDRESS ZSI�'S rn0j &A27R D/2(^v �-5 <br /> p� <br /> PROPERTYADDRESS 7612 I-A <br /> LEGAL DESCRIPTION(see tax receipt) AW— eF SE.114- N K/ 414 ZO -40-/16o OxXoLAn)D <br /> W <br /> 5y 0 <br /> DWELLING/BUILDING LiJ GARAGE/ACCESSORY STRUCTURE ILI ADDITION ❑ (n c <br /> c � <br /> TYPE OF PERMIT(S): c Q <br /> FILLING <br /> ,"/G <br /> /�RADING E] CAMPING UNIT 1:1 SUBDIVISION ❑ a a� <br /> STRUCTURE/ADDITION USE: /•/OVS6 ,Fgj X &0' w/Dlcyl<S /2 7(/G # 6XI, �-6sA/2AGc Xm2 0 <br /> (Home/Cabin; Commercial Business; Bedroom; Deck;; etc.) rn ^ <br /> BUILDING CONTRACTOR: TOM SHOW6:45 J;r 6me.,CEe, *Ad.Ae- 1AAE <br /> v <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR <br /> T) <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. TO 3 'C <br /> y GG <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) -n cm C <br /> n <br /> T Z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. 0 m A <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m <br /> NORTH(N). C o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B) BUILDING(S)TO m Op 3 <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. o <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES TOtj <br /> BUILDINGS,ROADS, LAKE, LOT LINES. Ul <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. N 4 <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. o I <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN SIl <br /> NEEDED. li <br /> Q <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. Z (� ' <br /> CONDITIONS OF PERMIT: P 7hR_ Q <br /> (M <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT O <br /> ISSUANCE. Do <br /> y <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY d <br /> PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINnuc VdA'I c FTr Al I rWFn WITHIN THF RFOIIIRFD WATER 8 <br /> SETBACK AREA. <br /> 5. This structure to be used as private residential <br /> Or DODO13 <br /> garage storage only. Not to be used for human M Z7 OO„ d , n f m <br /> g, n � 3non n � <br /> habitation �� a §� c y ' o ; 3 <br /> 7. r-.L Z ocy ' o : <br /> ✓✓ o m '< I m <br /> I declare that this application (including an accompanyingschedule has been examined o me and to the Deal of m <br /> PP (� 9 Y ) Y Y <br /> knowledge and belief it is true,correct and complete. I acknowledge that I m r 1 ail and accuracy of (( NN m n I N C <br /> all information contained in this application(including an accom vI' <br /> pp ( g y p rpG�) n 1 re that I recognize m <br /> that this information I am providing will be relied upon by the C r (ti Ing whether to is- W `� rn <br /> sue a permit. I further accept all liability which may be a result - ett relying o this information I am <br /> providing in this Ii ation. I agree to permit county officials rged with administering conn Idmances or other <br /> m <br /> authorized perso t va access to thea a described premi t any abl i r the se of inspection. <br /> TI a <br /> SIGN HERE uTI7L <br /> nature of owner or buil g contractor) C0U1 (date) I 0 : <br /> I q M <br /> ZONING ADMINISTRATOR V 1 � �l�t�t'"Ytn ZONING l n <br /> TOWNSHIP PERMITS MAYBE REQUIRED 0 < <br /> THIS PERMIT SHALL EXPIRE ONE Y AR FROM DATE OF ISSUANCE <br /> PP-rmt+ 4 Ie-44 ' ma.lW -fv 6-arg Psh S-3-0b <br />