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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 . <br /> s <br /> N <br /> C IVYVI <br /> OWNER (bti S Vv eau'le7� TELEPHONE �('A <br /> O <br /> MAILINGADDRESS a6h) 3 4:11 led H <br /> r <br /> PROPERTY ADDRESS v <br /> SC Iq • 13A 408 37l SC I q � f 3�1 H� X� <br /> LEGAL DESCRIPTION(see tax receipt) �y �-�-yO ly 1A.J lcf / I HO/ 9IHV \ m <br /> n <br /> DWELLING/BUILDING GARAGE/ACCESSORY STRUCTURE ❑ ADDITION ❑ 0 <br /> TYPE OF PERMIT(S): $ <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION ❑ S. _ <br /> I N <br /> STRUCTURE/ADDITION USE: •Nb lM e. <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) <br /> \ 1 �20.V 21Z ��•la wC Gunl4 R- �� <br /> BUILDING CONTRACTOR: rn <br /> v <br /> m <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR 3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. Vn�I }� DL <br /> l y (� <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) O n <br /> -n <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. m X <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m .. ` o <br /> NORTH(N). 3 <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO m a <br /> CENTERLINE OF ROAD,(C)BUILDING(S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF <br /> LAKE,STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. �I, ° <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES TO o <br /> BUILDINGS, ROADS, LAKE, LOT LINES. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. Nzo <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER,CONTRACTOR,ETC.,THE PLANS I <br /> MUST BE SIGNED AND DATED BY THE OWNER. O ? <br /> NOTE: BUILDINGISTRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN ° <br /> ZZ <br /> NEEDED. t '1� <br /> � I <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. o W V'j <br /> CONDITIONS OF PERMIT: Q, <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT rj <br /> ISSUANCE. lT <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. Q <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY IV•�l <br /> PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> 5. <br /> q 0 0 a f m <br /> > <br /> 6. n> n n n <br /> N F 3 A F _ 3 <br /> p N C y N O J <br /> Z C in N O O O <br /> 7. m <br /> 1 declare that this application (including any accompanying schedule) has been examined by me and to the best of my 2 [ <br /> knowledge and belief it is true, correct and complete. I acknowledge that I am responsible for the detail and accuracy ofo. ': O1 ? p <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize m m I mO <br /> that this information 1 am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- ; L7 : J <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 m o <br /> providing In this application. I agree to permit county officials charged with a ther ,o m <br /> authorized person to h access to the above described premises at any rea r t Cr <br /> T O <br /> � a <br /> yr i n <br /> SIGN HERE <br /> (sign owner orb .d' g contra ) 0 <br /> �m tptor )an h NOV 2 8 2 <br /> ZONING ADMI S ATOR <br /> BURNETT COUNTY <br /> O N O U ill N O <br /> TOWNSHIP PERMITS MAY BE REQUIRED ZONING <br /> THIS PERMIT SHAL�f � <br /> XP ONE YEAR DATE ISSUANCE�n <br /> ��m%�- e--�Prma� R l�-a� <br />