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Burnett County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator T 0 0 <br /> APPLICATION FOR LAND USE PERMITS 3 < <br /> OWNER AS.a tiCrnrGf 1057 <br /> Q � <br /> a <br /> MAIUNGADDRESs <br /> PROPERTYADDRESS <br /> Y _ I <br /> LEGAL DESCRIPTION(see tax receipt) SDC.7 s <br /> _ / [ o Ai KFS �i <br /> DWELLING/BUILDING GARAGEIACCESSORY STRUCTURE ❑ ApDITIDN ❑ �-1 y <br /> TYPE OF PERMIT(ST ` c <br /> FILLING/GR DING E] CAMPINGUNIT 11 SUBDIVISION Eln <br /> STRUCTURE/ADDITION USE <br /> �'-�(,yn-e o N ^ <br /> 1^ (Foo�melCabin; Commercial Business; Bedroom; Deck; etc.) <br /> ( m \' <br /> BUILDING CONTRACTOR: [- ¢< nin �( rU 1(QY7 ? N <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. <br /> W O C <br /> A u d <br /> DIRECTIONS FOR PLOT PLAN DRAWING (AERIAL OR TOP VIEW) O � <br /> T d <br /> T Z <br /> 1. ALL REQUIRED DIMENSIONS OR OS TO BE SHOWN DRAWN TO SCALE. <br /> 2. SHOW THE LOCATION AND SIZE OFF ALL ALL EXISTING BUILDINGS(FBI AND ALL NEW BUILDINGS(NO)AND INDICATE m a p <br /> NORTH(N). C n <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO m r \9 <br /> CENTERLINE OF ROAD,(C)BUILDING($)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF `` V <br /> LAKE,STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. c <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES TO - l <br /> BUILDINGS, ROADS, LAKE,LOT LINES. T <br /> S. 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 �(J <br /> MUST BE SIGNED AND DATED BY THE OWNER. <br /> o <br /> NOTE: BUILDINGISTRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN 52 o <br /> NEEDED. 3 -' <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. z d <br /> CONDITIONS OF PERMIT: ° J <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT <br /> ISSUANCE. r'- V` CO <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. ..,� <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY ' (t <br /> PERMITTED. V I 6 <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS.ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> 5. <br /> s� o PIS rte,,- _�.� 1;��k <br /> 6. B 'nmR So <br /> 7. S-trjt + .(,reft) bebe6HrJ '75 --&D+ -'z�146aCLlit- aS .StiowF. <br /> declare that this application (Including any accompanying schedule) has been ¢zaminm <br /> ad by me and to the best of my L`6 2— : O <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of J! U <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognisec m <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to Is- <br /> . <br /> a ! m C <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 <br /> providing In this application. 1 agree to permit county officials charged with administering county ordinances or other <br /> authorized parson to have acc¢ss to the above described premises at any reasonable time for the purpose of inspection. <br /> T <br /> Di <br /> SIGN HERE <br /> a <br /> (aignawre of owns (t; imine cogno-ador) (oats) I, j <br /> ZONING ADMINISTRATOR_ <br /> QO(NI,ON O <br /> TOWNSHIP PERMITS MAYBE REQUIRED NN <br /> THI ERMIT SHALL EXPIRE�ONE YEAR F OMDAr�OF,ISS NCL_ <br /> (Y)IZ P 'RJ J"� OFS L()NllT/ U.Gf1dh <br />