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Burnett County 7410 Co. Rd. K, No.102,Siren,WI 54872 Office of Zoning Administrator - c o <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNER �Hh�RD D965- //�QQ,^ w o0 <br /> ` IWI 77Q/4 AJ"T TELEPHONE fio.,arJ g7 Q O a <br /> v o <br /> MAILING ADDRESS ] /yyTR�9i� m,V <br /> PROPERTY ADDRESS &e //ed °r. m <br /> �Le -S/c <br /> LEGAL DESCRIPTION(see tax receipt) LOT /I C g-RT1/jam SUR /l90y I <br /> moi- P*r of&.L./L c Tf 4- <br /> CD <br /> TYPE OFPERMIT(S): DWELLING/BUILDING ❑ GARAGE/ACCESSORY STRUCTURE>< ADDITION ❑ ��.$� 1 <br /> R r S - Co <br /> FILLING/ RADING ❑ CAMPI UNIT r <br /> ❑ SUBDIVISION ❑ �aWAAI P �rJ a <br /> STRUCTURE/ADDITIONQSE: �T (l y 4A A�. / la jC h JSP 30 x � gr t�ji Nru,�T tv y; <br /> (Home/Cabin,Commerce �' <br /> I Business; Bedroom; Deck;etc.) ' <br /> BUILDING CONTRACTOR: me= " t oe <br /> �Jtl <br /> � � 1 <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. _3 <br /> O <br /> DIRECTIONS FOR PLOT PLAN DRAWING (AERIAL OR TOP VIEW) 0 y ` <br /> T a <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. m m Z <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE <br /> NORTH(N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO m 3 <br /> CENTERLINE OF ROAD,(C)BUILDING(S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF -O a <br /> LAKE,STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. ` Z <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. i <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. \ <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. D 5 <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERINEEDED. FCATION MY BE'�If)N �j�j W <br /> r v ' <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. o, <br /> CONDITIONS OF PERMIT: a Z 7u <br /> 2003 '� ; o oa <br /> I. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT 7C COUNT <br /> %/ <br /> (� <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. 0 /NG <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY w <br /> PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> 5. kkl 3 _ hzu,,C��icu adNtt1n&& AL aj'�dtd I/-N9 e's 0 <br /> 6. <br /> M� or-avavv <br /> w w 0, m a m F m <br /> 3 ' (DCL (D � a <br /> 7. Z � ooy ' a <br /> I declare that this application(including any accompanying schedule) has been examined by me and to the best of my o m� p <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of m OC`, m <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognizeC (n `: m <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin In determining whether to is- i i CDi m <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. I agree to permit county officials charged with administering county ordinances or other ' m <br /> authorized person to have access t bove desc . d premises at any reasonable time for the purpose of inspection. <br /> w o <br /> m <br /> SIGN HERE m <br /> (signature of owner or b ding ntractor) !! (date) o <br /> i i CL <br /> E <br /> ZONINGADMINISTRATOR <br /> .A I O <br /> V` ICC J0.11Zry`y C ivi is io E9 fa <br /> TOWNSHIP PERMITS MAY BE REQUIRED G N 0 N N O O <br /> Ci'-n,Q CAo<nooa <br /> [1�I 4-3 THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br />