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Burnett County 7410 Co. Rd. K, No. 102,Siren,WI 54872 Office of Zoning Administrator ' o 0 <br /> APPLICATION FOR LAND USE PERMITS <br /> N O <br /> H <br /> � d <br /> OWNER _SAf n <n K a TELEPHONE ?I S-bas-513 o <br /> MAILINGADDRESS + y1-7 CN Iza• C-, Spooner- W S goof <br /> CDCD <br /> 0 <br /> 0 <br /> PROPERTYADDRESS SAAR <br /> 1 tj <br /> A •• ` `� <br /> LEGAL DESCRIPTION(see tax receipt) ln� 2 (A /& r. r PQ• 2J 7 c�,�/j� /(� <br /> IIpr�i r <br /> DWELLING/BUILDING 1:1GARAGE/ACCESSORY STRUCTURE LlJ ADDITION ❑ [n o <br /> TYPE OF PERMIT(S): / c <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION ❑ lT' <br /> STRUCTURE/ADDITIONUSE: Desk• D 1-C— <br /> (Home/Cabin;Commercial Business; Bedroom; Deck;etc.) to S <br /> C m 3 <br /> BUILDING CONTRACTOR: <br /> m <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 81/2 X 11 SHEET OF PAPER. ANY INCOMPLETE OR 3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. D�Sv� 1 -�� p w p o <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) S i�a//p \ b o. <br /> o <br /> 1 � T Z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. (j m <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS( )AND INDICATE <br /> CN o <br /> 3 .SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO m 33 <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. P <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. lz$ <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 Gm <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 o <br /> NEEDED. h <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. '/ o <br /> CONDITIONS OF PERMIT: O 0 0 <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT \Y <br /> ISSUANCE. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. 0 <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 I <br /> sl AcK ac VW11AIN, <br /> mmomafmm <br /> 6. 3amOx T. ;a <br /> N <br /> Co o 0 3 <br /> 7. Z W O O 10 <br /> (o n m <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the best of my V i Q <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of a <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize m : 0 : 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 relying on this information I am w <br /> providing in this application. I agree to permit county officials charged with administering county ordinances or other <br /> authorized person to hays access to the apqve described premises at any reasonable time for the purpose of inspection. o : <br /> m m <br /> SIGN HERE <br /> CL <br /> ( <br /> au of owns b Ing contractor) (date) l� <br /> ZONING ADMINISTRATOR ( I to 4EO3 <br /> 0 0 <br /> �y NN NNOO <br /> TOWNSHIP PERMITS MAY BE REQUIRED 9,-jb'f l to � <br /> oZ4q'q lit', <br />