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OA C- , <br /> Burnett-County 7410 Co. Rd. K, No. 102,Siren,WI 54872 Office of Zoning Administrator m _ o 0 <br /> APPLICATION FOR LAND USE PERMITS m 3. <br /> TO THE ZONING ADMINISTRATOR: The undersigned hereby makes application for a Permit for the work � y <br /> described and located as shown herein. The undersigned agrees that all work shall be done in accor- <br /> dance with the requirements of the Burnett County Land Use Ordinance,Sanitation Code,and with all other - o <br /> applicable County Ordinances and the lla�w/s►yand regulations of the State of Wisconsin. <br /> OWNER TELEPHONE ��S-a,�Cf-�d�Q o <br /> 36393 5o Q4r4,2 Aw -z r.,HOME ADDRESS 3032 t Co I?-d— N <br /> EMERGENCY/FIRE NUMBER 30 3 ?3 ROAD NAME <br /> S6 . 65-Ak 1-kPV <br /> LEGAL DESCRIPTION (see tax receipt) //�� / � s�C_ O �uJ✓�/u,/ ._ <br /> CONTRACTOR <br /> TYPE OF PERMIT(S): DWELLING/BUILDING—GARAGE/ACCESSORY STRUCTURE ADDITION ' <br /> � o <br /> 0 <br /> SANITARY PRIVYFILLING/GRADING CAMPING UNIT SUBDIVISION <br /> STRUCTURE/ADDITION USE: n1y7,P,7eWe_;9L — / c"-b l —6) COLC- <br /> (Home/Cabin; Commercial Business; Bedroom; Deck;etc.) <br /> r <br /> 0 <br /> A PLOT PLAN MUST BE PROVIDED ON A SEPARATE SHEET OF PAPER. ANY INCOMPLETE OR <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. In (, 1 <br /> O /y✓ <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (Aerial or top view) O 3 <br /> 'n 'P u <br /> 1. All required dimensions or distances to be shown or drawn to scale. � o $ <br /> 2. Show the location and size of all existing buildings (EB) and all new buildings(NB) and indicate m N: <br /> North (N). m I <br /> 3. Show dimensions in feet of the following: (a) building(s)to all lot lines, (b) building(s)to centerline of <br /> road, (c) building(s) measurement to the ordinary high water mark(OHWM)of lake, stream or river. s <br /> 4. Show the location of the well (W), septic tank(ST)and drainfield (DF), and all distances to buildings, <br /> roads, lake, lot lines. <br /> 5. Indicate if a walkout basement is planned and show areas to be graded or filled. C <br /> 6. If separate plans are submitted by an architect, engineer, builder, contractor, etc., the plans must be � <br /> signed and dated by the owner. J y <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED FOR ONSITE VERIFICATION BE- ° <br /> FORE A PERMIT CAN BE ISSUED. 0 \ <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. UCS) <br /> m <br /> CONDITIONS OF PERMIT: o <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT 11- <br /> ISSUANCE. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY ? <br /> PERMITTED. l 9 <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN 75 FEET OF THE <br /> OHWM OF LAKES, PONDS, RIVER UNLESS SPECIFICALLY PERMITTED. <br /> 5. <br /> F <br /> 6. <br /> mmvmr Dpy <br /> 7. A u : Sc O J m i <br /> Z F 21 '• ` 1 <br /> 8. o =y ` <br /> M <br />