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(�� <br /> Burnett County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator _U c) Z <br /> APPLICATION FOR LAND USE PERMITS 3 - <br /> r n <br /> C I 1 <br /> OWNER Tim Tiader TELEPHONE 715-X44-F19� o w \�7 <br /> - <br /> O <br /> HOME ADDRESS 23976 Tollander Rd Siren WI 54872 <br /> 0 <br /> EMERGENCY/FIRE NUMBER 23976 ROAD NAME Tol lander Rd <br /> w <br /> LEGAL DESCRIPTION(see tax receipt) E'hNE'/4 NW'/4 S14 T38N R 17W ('� 0 <br /> DWELLING/BUILDING ❑ GARAGE/ACCESSORY STRUCTURE ❑ ADDITION ❑ PRIVY c o <br /> TYPE OF PERMIT(S): v <br /> FILLING/GRADING El CAMPING UNIT El SUBDIVISION ❑ 5 nj <br /> N <br /> STRUCTURE/ADDITION USE: na <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) m <br /> d <br /> BUILDING CONTRACTOR: Tim Tjader '— <br /> tu <br /> CD <br /> v o <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. m0 3' OD <br /> r� m <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) O o <br /> T Z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. n m <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m <br /> NORTH(N). <br /> _ 0 <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO m <br /> CENTERLINE OF ROAD,(C)BUILDINGv <br /> 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 TO <br /> BUILDINGS,ROADS,LAKE, LOT LINES. O <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. N O <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. 10 <br /> o ' <br /> o $U <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAYBE DONE WHEN Cr 0 C <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. <br /> CONDITIONS OF PERMIT: c <br /> rD <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT N <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 O <br /> PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> 5. <br /> Xv0r 0 O -0 <br /> (p M. N N m <br /> CL M 6 a� mcy " o ' 3 <br /> 7. o ycoo � fO i <br /> —01; M <br /> M <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the best of my (j c C <br /> knowledge and belief it is true, correct and complete. I acknowledge that 1 am responsible for the detail and accuracy of o Sr <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize M <br /> m m <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- �' 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 m <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. -n <br /> e m <br /> SIGN HEREy V <br /> (sign ur f own or building ntractor) (date) <br /> ZONING ADMINISTRATOR . . . . . . v+ <br /> �wwwwww� <br /> N No NrOmm <br /> WNSHIP PERMITS MAY E REQUIRED 0 0 0 0 0 0 0 <br />