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Burnett County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator -0 c) Z <br /> APPLICATION FOR LAND USE PERMITS 3 <br /> r <br /> OWNER PAUL � Rosr_ Milkii TELEPHONE74�p3 '>la/ <br /> O <br /> m <br /> MAILINGADDRESS I©,;)DCj MISS. l31-(/.D• LL)Of /((' pl L?S MN, 55-4. 33 v f,° <br /> PROPERTYADDRESS 7SOy Lal=ooy /.� OA K L A N T1Y. WV �^ <br /> LEGAL DESCRIPTION(see tax receipt) I DWELLING/BUILDING ❑ GARAGE/ACCESSORY STRUCTURE ® ADDITION ❑ rn o C <br /> TYPE OF PERMIT(S): <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION ❑ n \^ <br /> STRUCTURE/ADDITION USE: S%D2AC--F0. <br /> - <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) rn <br /> Vl/�—I <br /> d <br /> BUILDING CONTRACTOR: <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8'/X 11 SHEET OF PAPER. ANY INCOMPLETE OR <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. TO 3 <br /> M <br /> DIRECTIONS FOR PLOT PLAN DRAWING- (AERIAL OR TOP VIEW) O <br /> T <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. [) m <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m <br /> NORTH(N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES,(B) BUILDING(S)TO Cn <br /> m 1 L{� 3 <br /> CENTERLINE OF ROAD,(C) BUILDING(S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF J W <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 <br /> BUILDINGS, ROADS, LAKE, LOT LINES. Ln <br /> d <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 0 <br /> MUST BE SIGNED AND DATED BY THE OWNER. 0 1 <br /> o � <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAYBE DONE WHEN g <br /> NEEDED. c; CJS <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. Z r <br /> CONDITIONS OF PERMIT: P <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT <br /> {J <br /> ISSUANCE. Q. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY O' <br /> PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER <br /> S4BACK AREA. <br /> 5. cce.�sts 1�jIS� Fr1l,-�dlu--e-lb b�1��M'nd -12brre�s�d( e�rfia Iia J2 <br /> OII1O(xIV� Ir(2 C �S�Ft �� 1IV' 1vv' hc�lfG7L�h- m C0W0MM:EM <br /> 6. + - m x3 nm 0, -a A <br /> a amcy !" 0 <br /> 7. Z ammo ' <br /> ow .0 <br /> I declare that this application (including an accompanyingschedule has been examined b me and to the best of m ^ ' Q <br /> PP f 9 Y ) Y Y E 2i � : c <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of m �' <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. 1 further accept all liability which may be a result of the County of Burnett relying on this information I am d o <br /> providing In this application. I agree to permit county officials charged with administering county ordinances or other m' <br /> m <br /> authorized person to have access to the above described premises at any reasonable time for the purpose of inspection. <br /> m a : <br /> D : <br /> SIGN HERE �• ss I a <br /> (si n tyre of owner oorr�buildLLnngg contractor) (date) J31 i <br /> ZONING ADMINISTRATOR J `Lf <br /> I0 ) F ln (" On <br /> O N y i W W N O <br /> O U O U t N (I O <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> I PERM T SHALL EXPIRE ONEEYEAR FROM DATE OF I S ANC <br /> ml� � f <br /> Mat Loa t6 `'awl /��'Y? 6 �� <br />