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Burnett County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator - 0 0 <br /> APPLICATION FOR LAND USE PERMITS 3. <br /> r <br /> ,,�1�yA-�/n /�c m o <br /> OWNER C rK and Sondra ��al.N/J TELEPHONE( ��� <br /> v J <br /> MAILING ADDRESS <br /> °r. m <br /> PROPERTYADDRESSZQjf' r� <br /> LEGAL DESCRIPTION(see tax receipt) Lcr o t CICA I V01, I ((/ 1 7 w 1 Z$ 9-25-39—39 CDaqr <br /> Q <br /> DWELLING/BUILDING ❑ GARAGE/ACCESSORY STRUCTURE ADDITION ❑ (n O <br /> TYPE OF PERMIT(S): r ' <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION ❑ n <br /> STRUCTURE/ADDITION USE: 5 Q r� � 1) 1 d > <br /> J ((Home/Cab Commercial Business; Bedroom; Deck; <br /> �ett�c.)., U) <br /> BUILDING CONTRACTOR: r� t'�ie) C( V I Ut� U r 1 n CP <br /> U <br /> m <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR <br /> 't 3 C <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. A <br /> yt <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) O a <br /> T <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. 0 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 m30 <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. 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. Cj <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 1 <br /> MUST BE SIGNED AND DATED BY THE OWNER. o f 1" <br /> o � <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN .N» 0 <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. Z <br /> CONDITIONS OF PERMIT: i <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT <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 C <br /> PERMITTED. (^ (O O <br /> 4. NO STRUCTURES, INCLUDING RETAININr.WAI I c FTr. Al I nxA/pn WITHIN THF PPC)i jipr:n WATPP <br /> SETBACK AREA. This structure to be used as private residential <br /> 5. garage/storage only. Not to be used for human <br /> X OOOrDODO '9 <br /> 6 habitation. CDD C 3 a rci 0 n M(D <br /> p m C <br /> Z c ,'n m O <br /> 7. <br /> = � m <br /> I declare that this application (including an accompanyingschedule has been examined b me and to the best of m O <br /> PP 1 9 Y ) Y Y � C <br /> knowledge and belief it is true, correct and complete. I acknowledge that 1 am responsible for the detail and accuracy of m' n_ �^ <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize m c m <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- �: ° in <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. 1 agree to permit county officials charged with adminr e <br /> y <br /> authorized person to have access to the above described premises at any reason ' t e r i 115Vm a <br /> m <br /> m <br /> SIGN HERE t190tAa <br /> ( n ure of r building contractor) Crp �la&S r'w, ': 0 i <br /> ZONING ADMINISTRATOR JLr [gCi <br /> BURNETT COUNTY0 N <br /> OCT (NO <br /> TOWNSHIP PERMITS MAY BE REQUIRED ZONING U NT, <br /> THIS PERMIT SHALL EXPIRE ONE Y ' �R FRQM DATE OFSU SNCE <br /> ytn ; oas <br /> th9-� - s- <br />