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Burnett County 7410 Co. Rd. K,No. 102, Siren,WI 54872 Office of Zoning Administrator -0 Z <br /> M 0 0 <br /> APPLICATION FOR LAND USE PERMITS 3 01 <br /> 5T 0 <br /> CA <br /> I C 0 <br /> CD 09 <br /> �j TELEPHONE 7 <br /> OWNER PHONE - I d <br /> 0 <br /> MAILING ADDRESS / `? o <br /> CD <br /> 0 <br /> PROPERTY ADDRESS 6 5-� wir Howe. ixd& '4� <br /> LEGAL DESCRIPTION(see tax receipt) - Par 176 A- 12 5`7 J-r�; 0 r! Cj,.t�T ((Dn <br /> 0 <br /> DWELLING/BUILDING GARAGE/ACCESSORY STRUCTURE El ADDITION El <br /> TYPE OF PERMIT(S): CCr <br /> FILLING/GRADING El CAMPING UNIT El SUBDIVISION El a <br /> STRUCTURE/ADDITION USE: 0 <br /> :3 <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) cn <br /> D <br /> BUILDING CONTRACTOR: r rx v <br /> _0 <br /> M <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 /> 0 <br /> Cn <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) 0 C <br /> n <br /> -n Z <br /> 0 <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. 0 <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE M M <br /> r- 0 <br /> NORTH(N). Cn 0 <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 <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. <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 0 <br /> MUST BE SIGNED AND DATED BY THE OWNER. 0 <br /> > <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN 0 <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. Z 0) <br /> 0 <br /> CONDITIONS OF PERMIT: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT <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 09 <br /> PERMITTED. 0- <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> 5. <br /> CD C 0) 0 CD CL * M <br /> 6. 0 3 0 0 cL CD <br /> CD X- — <br /> Cn Cn = = <br /> 'a CD C 0 ic <br /> 0 -, Cn 0 : ca -.4 <br /> C 0 <br /> 7. 1Z C, Cn CD <br /> CD X <br /> cn . M <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the best of my jo <br /> knowledge and belief it is true, correct and complete. I acknowledge that I am responsible for the detail and accuracy of 0) 0 C <br /> a � : ;0 C <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize C M <br /> CD " <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- -CD : (n <br /> 0 G) =r <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 2) 0 <br /> CD <br /> providing in this application. I agree to permit county officials charged with admin'Lst unt ordinances or other <br /> on. CD <br /> authorized person to have access to the above described premises at any reasona4lp,,qi==6?j�qf WqiLe-B CL <br /> -n <br /> CD > : <br /> CD <br /> SIGN HERE Pb <br /> (a�i6nji-ure of r building contractor) (date)3Fkro <br /> on. <br /> 1 <br /> ZONING ADMINISTRATOR FEB 2006r <br /> 4>9409 fo 4A—(n IQ 69 <br /> C) K) 0 W W r1a 0 <br /> BURNETrCOUNTY C) Cn 0 C-n Cn (n 0 <br /> TOWNSHIP PERMITS MAY BE REQUIRED C, <br /> TH : SUA;2Y ING <br /> PERMITS EXPIRE ONE YEAR F)ROM DATE OF <br /> /-1 4-1) tY)12 t I.-- : / cA 1, n—/A -4 <br />