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Burnett County 7410 Co.Rd. K, No. 102,Siren,WI 54872 Office of Zoning Administrator _ 0 0 <br /> APPLICATION FOR LAND USE PERMITS �. <br /> J <br /> OWNER \ TELEPIIONE 0 U1 <br /> w <br /> m O� <br /> MAILINGADDRESS _)y, <br /> PROPERTY ADDRESS N S k45 J(,Cl c— 2-'L- D I I �V1 FW-J l dull f ' <br /> / v )S V't/ �I <br /> LEGAL DESCRIPTION(see tax receipt) 'R3-L10 -17 \ <br /> DWELLING/BUILDING 9 GARAGE/ACCESSORY STRUCTURE ❑ ADDITION ❑ ) CO 0 <br /> TYPE OF PERMIT(S): <br /> FILLING/GRADING ❑ CAMPING UNITE SUBDIVISION ❑ <br /> STRUCTURE/ADDITION USE: lqct 1 1tin" ° <br /> (� I-\ SD 1 11 <br /> (Ho a/Cabin^; CCn�e�la)Business; Bedroom; Deck;etc.) <br /> BUILDING CONTRACTOR: i ILII arftb �j✓ N� c+ C/ <br /> UUU <br /> CDv <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8'h X 11 SHEET OF PAPER. ANY INCOMPLETE OR � <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. p <br /> N <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) T o <br /> 21 Z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. n m jp <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUI ND INDICATE m '�(D <br /> NORTH(N). N o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT Llan (B)BUI Q(�}T m �3 <br /> CENTERLINE OF ROAD,(C)BUILDING(S)MEASUREMENT TO THE ORDINARY HIGH ER MARK( 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 AL Cf CES T <br /> BUILDINGS,ROADS, LAKE,LOT LINES. 6 CIP` <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED D ° <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER,BUILDER,CONTRA C.,T LAN 0 <br /> MUST BE SIGNED AND DATED BY THE OWNER. 0 F �. <br /> v (� <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIF <br /> NEEDED. ___, <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. 1 I tf _ 2004 0 <br /> CONDITIONS OFPERMIT: <br /> t <br /> ISSUANCE.MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PE1NETT G,O�NTY <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. ZONING <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY Q, <br /> PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> 5. <br /> 6. m 3CL@0MR M <br /> Q C y <br /> Z y m ° E °� <br /> m <br /> I declare that this a licatio Includin an accompanyingschedule has been examined b me and to the best of m �=r `: `: � O <br /> PP ( 9 Y ) Y Y �r <br /> knowledge and belief it is true, orrect and complete. I acknowledge that I am responsible for the detail and accuracy of r� m n in C <br /> v I <br /> all information contained in this plication(including any accompanying schedule)and 1 further declare that I recognize m o G <br /> that Nis information I am providing will y the County of Burnett Wisconsin in determining whether to is- m <br /> sue a p it. I further accept Ity which may be a esult of the County of Burnett relying on this information I am m <br /> providing this ap ' n. I agree to permit county o ials charged with administering county ordinances or other o ' .� <br /> authorized p o ave ces o the above described p emises at any reasonable time for the purpose of Inqpection. m o :0 <br /> SIGN HERE ° <br /> (sl at re w r building contractor) (date) ° <br /> ZONING,ADMINISTRATOR E <br /> lel C . <br /> ` N 69((n N N 0 O�-L.+ <br /> A{v0 j �)LI TOWNSHIP PERMITS MAY BE REQUIRED <br /> �� N ^I <br /> S_ay`THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br />