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Burnett County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator 71 Z <br /> APPLICATION FOR LAND USE PERMITS 3, ° <br /> N O» SV <br /> v, <br /> � m <br /> OWNER :I )A V1j) TELEPHONE <br /> /7 m <br /> HOME ADDRESSO <br /> `!-IWr,y s,< l?rcE��E c,�rs SY86 �' #,`C <br /> EMERGENCY IRE NUMBER 3o fZ7 ROAD NAME Ed!L L 4YC D. an n <br /> -� AVITI/ 1 <br /> LEGAL DESCRIPTION (see tax receipt) w �Z S(.J— SEL , 7 TY/,�/R(S� ti <br /> rr�� f�Gqt m <br /> DWELLING/BUILDING IQ- GARAGE/ACCESSORY STRUCTURE ADDITION ❑ PRIVY ❑ N o <br /> TYPE OF PERMIT(S): c <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION ❑ n <br /> STRUCTURE/ADDITION USE: C-146 I C a (v D "—" y' <br /> 0 <br /> Home/Cabin; Commercial Business; Bedroom; Deck; etc) <br /> BUILDING U <br /> BUILDING CONTRACTOR: tW Y56-4 E � x —'� <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8/:X 11 SHEET OF PAPER. ANY INCOMPLETE OR CD3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. -n <br /> N <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) p m <br /> n o. <br /> -n Z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. n 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 /> n <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO m r� <br /> CENTERLINE OF ROAD,(C)BUILDING(S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF V 1 Z <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. <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 ?. <br /> MUST BE SIGNED AND DATED BY THE OWNER. 0 1 <br /> o f^ <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. Z Cn J <br /> CONDITIONS OF PERMIT: ° ' <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT O <br /> ISSUANCE. Qom,-1 Lo <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 /> SETBACK AREA. p <br /> 5. {�] d �vs[!x Q �.✓ � ✓SSS S <br /> / <br /> 6. O r mp <br /> 10 M <br /> .(10 <br /> O N = <br /> 411 <br /> 7. O N <br /> m �1 <br /> N ; .'A <br /> M <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the best of my c � C <br /> knowledge and belief it is true, correct and complete. I acknowledge that I am responsible for the detail and accuracy of m oe <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize m m <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- O <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 <br /> providing in this application. 1 agree to permit county officials charged with administering county ordinances or other (D <br /> authorized person to have access to the above described premises at any reasonable time for the purpose of inspection. T <br /> _n m <br /> SIGN HERE ✓ 3-16 - 00 <br /> ignat re of owne ding contractor) (date) <br /> ZONING ADMINISTRATOR <br /> R <br /> PO U, N OTOWNSHIP PERMITS MAY BE REQUIRED <br /> X134M o 0 0 0 <br />