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Burnett County 7410 Co. Rd. K, No. 102,Siren,WI 54872 Office of Zoning Administrator v ci Z <br /> APPLICATION FOR LAND USE PERMITS M. <br /> H <br /> d /� -�/ C <br /> OWNER C�n�rJ(S�L� �[` � � k�/L TELEPHONE ��d Z4 O UC, b n <br /> O a <br /> N V) <br /> m <br /> MAILING ADDRESS Zo , , —R f�lw ��� <br /> t &d 0A Mlir, �� p K �v <br /> PROPERTY ADDRESS C' �— � � � <br /> Z �>� S. A tc) 1" <br /> LEGAL DESCRIPTION(see tax receipt) 5 a� g, 5 "Q m <br /> Sic 2� TwP .3q R. 1i svv NE <br /> I <br /> DWELLING/BUILDING ❑ GARAGE/ACCESSORY STRUCTURE ❑ ADDITION C c O <br /> TYPE OFPERMIT(S): !• <br /> FILLING/GRADING ❑ CAMPING <br /> .{UNIT <br /> �❑ SUBDIVISION ❑ V V a <br /> STRUCTURE/ADDITIONUSE: N <br /> ((Home/CabiJn;Commercial Business; Bedroom; Deck; etc.) cn <br /> BUILDING CONTRACTOR: l' +`j—� n1c�A C . _V►4L)FJL t L �lFZS y <br /> CD <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. 0 H m <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) 0 o <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. m m D <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE <br /> NORTH(N). W <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 Z� <br /> LAKE,STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. tt <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES TO V <br /> BUILDINGS,ROADS, LAKE, LOT LINES. 1 <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. N <br /> S. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER,BUILDER,CONTRACTOR, ETC.,THE PLANS 0 <br /> MUST BE SIGNED AND DATED BY THE OWNER. O (� <br /> v C� <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. /C`��Z ° h <br /> CONDITIONS OF PERMIT: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT <br /> ISSUANCE. �j �Cl O <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINL'& I <br /> 3 NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY j S <br /> 4 SNO ETBACK AREA.STRUCTURES, INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED W �ACO/'q ✓ <br /> 5. "v1 v'V� <br /> M m m n m a F rn <br /> 6. i <br />