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Burnett County 7410 Co.Rd. K,No. 102, siren,wt 54872 Office of Zoning Administrator m 0 0 <br /> APPLICATION FOR LAND USE PERMITS 3. <br /> r <br /> OWNER . e C( S TELEPHONE !�b <br /> m <br /> 3(2 e <br /> Av N /acs tN , <br /> //� <br /> MAILING ADDRESS __ O <br /> PROPERTY ADDRESS /-Z>JV G DUAvT-t-j 4 , <br /> LEGAL DESCRIPTION(see tax receipt) / �f /�YSK ��- 2 ���� 7 O�—d U <br /> DWELLINGIRMLDING 1-1GARAGE/ACCESSORYSTRUCTURE ❑ ADDITION CO o <br /> C D <br /> TYPE OF PERMIT(S): t <br /> Q <br /> n <br /> FILLING/GRADINGCOG;C❑ CAMP G UNIT ❑ SUBDIVIS,I�OiN�, �0�1-� o n � <br /> STRUCTURE/ADDITION USE: 6 eC SOn Vor,-h ¢ /��e t r-C./ L4_ ° ( _ <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) U <br /> BUILDING CONTRACTOR: �� F �O(nJ qtr'"—�tJM � m151 <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. 0 W <br /> N <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) 0 n <br /> T O Z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. m A <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE <br /> NORTH(N). N o <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. <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. w <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 O r <br /> ^� <br /> MUST BE SIGNED AND DATED BY THE OWNER. �� o t <br /> 0 <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN q ° C <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. o Q <br /> CONDITIONS OF PERMIT: O 1 <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT <br /> ISSUANCE.'1 <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. <br /> 5. r!a` (t, roty. Sjoh- r'904- —7 15 O-zu"� X ao 0 r a o n o 'o <br /> m c v w m a f m <br /> 6. m �'c3 nm x �' a;a <br /> a o CD c y o 3 <br /> Z <br /> 7. cv, 10 <br /> o <br /> o m Tom : .0 <br /> I declare that this application (including an accompanyingschedule has been examined b me and to the best of m — 0 <br /> PP (� 9 Y ) Y Y O c 1VV1 C <br /> knowledge and belief it is true, correct and complete. I acknowledge that I am responsible for the detail and accuracy of n o : " C <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- 0 <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 d o <br /> providing in this application. I agree to permit county officials charged with administerina countv ordinances or other <br /> authorized person a arc ss to the above described premises at any reaso ab ip c i ° a <br /> m <br /> m D <br /> m a <br /> SIGN HERE '? E" ° <br /> (signatur f ner or buildi contractor) (date) o <br /> ZONING ADMINISTRATOR <br /> JUL 520 <br /> v v vi <br /> 0E E <br /> 0 N � W w BURNETT COUNTY o � o � �nm Viow ro o <br /> TOWNSHIP PERMITS MAY BE REQUIRED 7n�1 <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUQNNG <br />