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Burnett County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator - o 0 <br /> APPLICATION FOR LAND USE PERMITS 3. <br /> N <br /> N <br /> OWNER TELEPHONE GlZ• ��7 333 3 0 <br /> m <br /> m <br /> MAILINGADDRESS 3/s9 �F /--Ort- <br /> PROPERTYADDRESS Z3Sr 1uold .3J( <br /> ^ 3 t✓o�} y <br /> LEGAL DESCRIPTION(see tax receipt) S (� � � ��S 0 <br /> DWELLING/BUILDING ❑ GARAGE/ACCESSORYSTRUCTUREX ADDITION ❑ (n o <br /> TYPE OF PERMIT(S): ig <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION ❑ <' <br /> STRUCTURE/ADDITION USE: /Z'X �K <br /> 4 qJ 4 <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) (n <br /> m <br /> BUILDING CONTRACTOR: Sti/ m y <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 81A X 11 SHEET OF PAPER. ANY INCOMPLETE OR / 3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. Q �jr— /5�����^r 06 4i1,/ LS/�IY111'kflcr 0 <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) � Ai t`4 JA)ur")/�///rrr-iii{{{J 1,—r— O a <br /> T Z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. n m p <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m <br /> NORTH(N). y o <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 Z <br /> LAKE, STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. P <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. IN <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER,CONTRACTOR, ETC.,THE PLANS 0 <br /> MUST BE SIGNED AND DATED BY THE OWNER. <br /> o <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAYBE DONE WHEN ar <br /> NEEDED. 2 <br /> T <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. Z <br /> CONDITIONS OF PERMIT: o <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT <br /> ISSUANCE. \tel ) <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. ,1U <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER �. <br /> SETBACK AREA. <br /> 5. <br /> � m ori Di O a <br /> r � <br /> Mf m <br /> 6. M x 3 n m x a = A <br /> 7. Z cm' MoE � � 1 <br /> O 2 T ;U <br /> = m : ` m <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the best of my 2 O <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of <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- `" v0i <br /> O : <br /> sue a permit. I further accept all liability which may be a result of the County of Burnett relying on this information 1 am : ry : o : <br /> providing in this application. I agree to permit county officials charged with administering county ordinances or other ` ,o <br /> authorized perso a access to the above described premises at any reasonable time for the purpose of inspection. <br /> T <br /> m ' Di <br /> SIGN HER <br /> is at a of ow r building contractor) (date) 0 <br /> W: <br /> ZONING ADMINISTRATOR <br /> ww � N <br /> V O N N W W N O <br /> TOWNSHIP PERMITS MAYBE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FRgM DATE OF l5qS <br /> (Ml1 + + <br />