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Burnett County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator -"D 0 2 <br /> APPLICATION FOR LAND USE PERMITS r <br /> r <br /> O <br /> CnC: <br /> _ <br /> CD <br /> OWNERTELEPHONE 3- <br /> CD <br /> J)E � <br /> tiD � N 6 <br /> ADDRESSJ � <br /> MAILING 3,� /Y.211 Ave.,,/��/' ,/v <br /> �o <br /> W . <br /> V PROPERTY ADDRESS 2, 76,27 '�,,�v � 06a;�.,A (,,J r5 D .� <br /> w <br /> LEGAL DESCRIPTION(see tax receipt) , CD <br /> C <br /> n <br /> 0 <br /> DWELLING/BUILDING GARAGE/ACCESSORY STRUCTURE ❑ ADDITION ❑ c =3 <br /> TYPE OF PERMIT(S): Cr <br /> FILLING/GRADING El CAMPING UNIT ❑ SUBDIVISION Ela <br /> N. <br /> STRUCTURE/ADDITION USE: <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) <br /> BUILDING CONTRACTOR: � <br /> m <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR -n3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. O <br /> C �` �► <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) 0 0. <br /> M z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. CDm <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE <br /> C <br /> ( )• 0 <br /> NORTH N FOLLOWING: A BUILDINGS TO ALL LOT LINES,(B)BUILDING(S)TO m 3 <br /> 3. SHOW DIMENSIONS IN FEET OF THE FO ( )BUILDING(S) <br /> ORDINARY HIGH WATER MARK OHWM OF <br /> CENTERLINE OF ROAD,(C)BUILDING(S)MEASUREMENT TO THE O ( ) o <br /> LAKE, STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. . <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. <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. <br /> IC, o <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN ° <br /> NEEDED. �1 <br /> 0 <br /> T TO ALL CONDITIONS LISTED BELOW. o r <br /> THIS PERMIT IS SUBJECT S � <br /> CONDITIONS OF PERMIT: f <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT <br /> U <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. Lie/ Lie �/UP 0 ei-e...ek- fid' (,elor-1-40,-a <br /> CU > 0 > 0 , <br /> civ ? a� 0 c� o- * 1 <br /> n n Q Cl) <br /> CD x CD X <br /> 6. =r (n <br /> � ; <br /> Z � - <br /> cQ <br /> 7. o rn n- . <br /> C <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the best of my <br /> i is true correct and complete. I acknowled a that I am responsible for the detail and accuracy of W 0 <br /> knowledge and belief t p 9 <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize Q� CD . <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- ? <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 <br /> cD <br /> providing in this application. I agree to permit county officials charged with administering county ordinances or other <br /> authorized person to have access to tjM obove described premises at any reasonable time for the purpose of inspection. -n <br /> `D a. <br /> CD <br />