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Burnett County 7410 Co. Rd. K, No. 102, Siren,W154872 Office of Zoning Administrator m o 0 <br /> APPLICATION FOR LAND USE PERMITS 3 <br /> OWNER {� �w�jT TELEPHONE <br /> MAILINGADDRESS 'IZo "�-1t. ( )lf �CSL CO��P70� v <br /> PROPERTY ADDRESS /1'7/„��LJT„✓rt"r�G�� 'n�- _ L�(L,)Q�/) „i� c /1�, <br /> LEGAL DESCRIPTION(see tax[receipt) �Fr nit .11 �L.,L- 'A/ 'i `fLIT <br /> DWELLINGIBUILDING ❑ GARAGEIACCESSORY STRUCTURE ADDITION ❑ 11 y o <br /> TYPE OF PERMIT(S): 4 <br /> FILLINGIGR/AD�INpG 11 CAMPING UNIT 1:1 SUBDIVISION <br /> SUBDIVISION <br /> STRUCTURE/AUDITION USE: <br /> (HomelCabin; CCnmm'errc�ial S.NiDeess, Sedr(o.UI Deck;etc.) <br /> BUILDING CONTRACTOR: <br /> � y <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR � <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. <br /> A J <br /> DIRECTIONS FOR PLOT PLAN DRAWING (AERIAL OR TOP VIEW) p � �C <br /> T 4 d <br /> 1. ALL DIMENSIONS OR DISTANCES TO BE SHOWN DRAWN TO SCALE. A .J <br /> 2. SHOWW THE THE LOCATION AND SIZE OF ALL EXISTING BUILDINGSS( T Z <br /> (EB)AND ALL NEW BUILDINGS(NBm)AND INDICATE m �^ <br /> NORTH(N). a V (�N� o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO an I o <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 GRAINFIELD(DF),AND ALL DISTANCES TO <br /> BUILDINGS, ROADS,LAKE,LOT LINES. E <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. <br /> o f X <br /> NOTE: BUILDINGISTRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAYBE DONE WHEN <br /> NEEDE <br /> NEEDED. (J} <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. <br /> CONDITIONS OF PERMIT: P - <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT w N I <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. <br /> 4, NO STRUCTURES, INCLUDING RETAINING WAI1 c FTC. At I nWFD WITHIN THF RFODIRFn WATFR <br /> SETBACK AREA. <br /> 5, This structure to be used as private residential LAJ <br /> A WOr- DODa09 <br /> 6 garage/storage only. Not to be used for human <br /> habitation. <br /> 7. z g D n o n y <br /> I declare that this application (including any accompanying seneaule) has Dean exammea oy me ano to me nest of my 65 <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 1 further declare that 1 recognize ° In <br /> that this Information I am providing will be railed upon by the County of Burnett Wisconsin in determining whether to Is <br /> sue a permit. 1 further accept all liability which may be a result of the County of Bumeti relying on this information 1 am a ' <br /> Providing in IN plication. 1 agree to permit county officials charged with administeringcounty ordinances or other ! — <br /> authorized p o to In e access to thea ova described premises at any naso ab all <br /> SIGN HE D. <br /> (signatur f owwnit o`building contractor) <br /> ZONINGAD NISTRATOR KIWI UUN 2 GVUO �'/ o <br /> TOWNSHIP PERMITS MAYBE REOUIREDBUFSNEffT��T COUNTY <br /> u o u u u o <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM ATE OF1SSlTAN C' <br /> 4'torl + 4 t?-WpC7-b kp �y z� l f�rm � '7-i0 0.6 <br />