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CN COMPUTER/SCANNED <br /> Burnett'County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator m o 0 <br /> APPLICATION FOR LAND USE PERMITS 3. <br /> y O Q <br /> N <br /> OWNER TELEPHONE CvSI-Z577 --070-7 o <br /> m <br /> MAILING ADDRESS 77 12 <br /> PROPERTYADDRESS 2-9039 <br /> LEGAL DESCRIPTION(see tax receipt) 4or 2- c�c. S Rw. LIQ 44 Z-w Vr�' <br /> DWELLING/BUILDING 1-1 GARAGE/ACCESSORY STRUCTURE F1 ADDITION 577 1 W j <br /> TYPE OF PERMIT(S): Q <br /> FILLINGIGRADI❑CAMPING UNIT ❑ SUBDIVISION El❑�,,,.,/h�'� + rn, �Up��/M� S. <br /> STRUCTURE/ADDITION USE: -----=` �'/"-'`� l�hA ) `-�^ 1 T'i�/,td" j <br /> 'Home/Cabin;)Commercial Business; Bedroofffnnn; Deck; etc.) W <br /> BUILDING CONTRACTOR: <br /> � 3 � <br /> v IA PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR T 3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. py (/) <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) O n <br /> m O Z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. n m A <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m :° J <br /> NORTH(N). y d O <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO m B <br /> CENTERLINE OF ROAD,(C)BUILDING(S)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(ST)AND DRAINFIELD(DF),AND ALL DISTANCES TO Or <br /> BUILDINGS,ROADS, LAKE,LOT LINES. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. 1 N <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER,BUILDER,CONTRACTOR, ETC.,THE PLANS D <br /> MUST BE SIGNED AND DATED BY THE OWNER. <br /> v � <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN 0 <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. o 9 <br /> CONDITIONS OF PERMIT: O w <br /> I <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT J J <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 RETAPING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER o' <br /> SETBACK AREA � OK�ej rr-11-ay-5r <br /> { ' , � o S m <br /> 6. xSn@xaN <br /> 7. oz <br /> o m i m <br /> m <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the has of my C) c I C <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of <br /> a � <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize �Q m m mo <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is. J <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 o E <br /> providing in this application. I agree to permit county officials charged with administering county ordinances or other ,o <br /> authorized person t have a9cess to the above described premises at any reasonable time for the purpose of inspection. <br /> T <br /> m <br /> 9-5 <br /> Fn a <br /> SIGN HERE - <br /> tur of om e r uilding contractor) (date) o <br /> N i <br /> ZONING ADMINISTRATOR vJ <br /> as-'1f5y 69 OONNWWNO <br /> TOWNSHIP PERMITS MAY BE REQUIRED C o u o u v u o <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br /> rf tled -> D 0brrvr3tyne 0pns+tc�-c-har, <br />