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Burnett County 7410 Co. Rd. K, No.102,Siren,WI 54872 Office of Zoning Administratorm o° o <br /> APPLICATION FOR LAND USE PERMITS . <br /> CD <br /> N <br /> ` <br /> OWNER TELEPHONE <br /> MAILINGADDRESS <br /> PROPERTY ADDRESS // FN- <br /> LEGAL DESCRIPTION(see tax receipt) O AP <br /> DWELLING/BUILDING f GARAGE/ACCESSORY STRUCTURE J ADDITION ❑ rn <br /> TYPE OF PERMIT(S): a <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION ❑ 1 <br /> STRUCTURE/ADDITIONOSE: 0 <br /> ( e/Cabin; CommercialBusiness; Bedroom; Deck;etc.) (n <br /> CBUILDING CONTRACTOR: IN <br /> v <br /> m <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 81h X 11 SHEET OF PAPER. ANY INCOMPLETE OR T 3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. -n <br /> 0 y <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) O o <br /> m z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. 0 w jp <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m <br /> NORTH(N). y o <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)BUILDING(S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF 1 <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. <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. o <br /> f <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFIC*� � <br /> NEEDED. �. <br /> THIS PERMIT IS <br /> CONDITIONS FS ERM TT TO ALL CONDITIONS LISTED BELOW. 'JOA, 4 ' o <br /> 1 <br /> ISSUANCE.MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERIORRII,,F VETT C®(/� j C <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. 0////VG r r C2 <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 <br /> AREA. <br /> This structure to be used as private residentialCD w m�m f <br /> 6. garage/storage only. Not to be used for human 5 a m <br /> habitation. a m c y ' o1930 Z N O O <br /> 7. O T< M <br /> = rnE i m <br /> 1 declare that this application (including any accompanying schedule) has been examined by me and to the best of my G)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 m 0 <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize m m <br /> that this information 1 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 ro <br /> providing in this application. I agree to permit county officials charged with administering county ordinances or other o ` 1`: <br /> authorized persq1to have access to thejabove described premises at any reasonable time for the purpose of inspection. m WIn m : o <br /> 0 - : m i <br /> SIGN HERE <br /> (sig re o}owner or buil Ingnco/ntractor)/ N (date n' <br /> ZONING ADMINISTRATOR ✓ �. (�t !/CS L�___ <br /> t�,'� � TOWNSHIP PERMITS MAY BE REQUIRED <br /> 07- THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE T1— Ui V) <br />