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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 /> �J� J 1t�1'/�1 rz / p�1� d <br /> OWNER��.F�I L ' • 'DISI\ f C'umm mGs TELEPHONE 715—Y�6—�SE539 o <br /> MAILINGADDRESS COL)W DEVI LSC,. La ku [l /I <br /> ah _ .. <br /> PROPERTYADDRESS E—CRq I DG t V/I LS �V�_s�.d <br /> SCEGTION TOWn 40 P'Nez <br /> LEGAL DESCRIPTION(see lax receipt) NW Nr— LX. Wa RDs ��77 <br /> DWELLINGIBUILDING ❑ GARAGE/ACCESSORY STRUCTURE J[aJ ADDITION ❑ V w <br /> TYPE OF PERMIT(S): <br /> Fit ING/GRADING U CAMPING UNIT ❑ SUBDIVISION ❑ g <br /> STRUCTURE/ADDITION use PF_2 >NAL ST02AC-�� f .N.pDC1-1 <br /> (HomelCabin; Commercial Busl ass: Bedroom; peck; etc.) m <br /> BUILDING CONTRACTOR: LF 4 <br /> m <br /> A PLOT PLAN MUST BE PROVIDED ON LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR 3 _ <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. TO <br /> A c <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) O a <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. A ,gym 1 <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(No)AND INDICATE m T <br /> NORTH(N). v n <br /> g. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES.(B)BUILDING(S)TO m C\ v <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. <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND GRAINFIELD(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. <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER,BUILDER,CONTRACTOR, ETC.,THE PLANS N <br /> MUST BE SIGNED AND DATED BY THE OWNER. F Q <br /> 0 <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAYBE DONE WHEN — J— <br /> NEEDED. v, <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. o W <br /> CONDITIONS OF PERMIT: <br /> I <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT ,� O <br /> ISSUANCE. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. r Y <br /> 1 NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY Vu <br /> PERMITTED. Q <br /> 4. NO STRUCTURES,INCLUDING RETAINING WAI IS FTC At I OWED WITHIN THE RFni uvan INc7EP O <br /> s, SETBACK AREA. This structure to be used as private residential <br /> garage/storage only. Not to be used for human <br /> 6. habitation. ,'. 8 A ° a <br /> GQ � a = allo 2 � <br /> 7. o A <br /> M <br /> 1 declare that this application (including any accompanying schedule) has been examined by me and to the best of my2c <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of a U <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize I1rr�y{J-I M <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 relyih on i in I amII`�J v o' <br /> providing in this application. I agree to permit county officials charged wit r n other — <br /> authorized person to, ve access to the simile describqd prenglises at any rez. u I lion. <br /> SIGN HERE <br /> mrsO.,) 'JUN <br /> ZONING ADMINISTRATOR <br /> BURNE <br /> TOWNSHIP PERMITS MAY ZONING o N N <br /> Y R E REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR F OM D��'NATE OF ISSUANC <br /> �erm� �-� �e-h�ern�cclle�P-t� ,�ma�k �-a�-ob <br />