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Burnett County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator (D o 0 <br /> APPLICATION FOR LAND USE PERMITS 3. <br /> N O <br /> OWNER m I',rdweo � �-o is Aid'f-r TELEPHONE <br /> o <br /> MAILING ADDRESS <br /> PROPERTY ADDRESS 8(9�y S �/j,2 �/L /�?/U 'FJU�y <br /> Q '/ G <br /> LEGAL DESCRIPTION(see tax receipt) k o-r Z ASS � q � � <br /> m <br /> ° <br /> DWELLING/BUILDING ❑ GARAGE/ACCESSORY STRUCTURE ❑ ADDITION I C Z <br /> TYPE OF PERMIT(S): 1(W� <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISIONxle� ❑ w: <br /> STRUCTURE/ADDITION USE: /�dm E ' Z <br /> (Home//Cabin;Commercial Business;Bedroom, Deck,etc.) <br /> BUILDING CONTRACTOR <br /> C3h1' <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR n3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. M N <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) n n <br /> -n v Z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. n 01 p <br /> M m <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE a <br /> NORTH(N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO m v <br /> CENTERLINE OF ROAD,(C)BUILDINGS)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 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. 1( o <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 <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN W <br /> NEEDED. 7� <br /> Z <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. 9 <br /> CONDITIONS OF PERMIT: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT ffV� ` <br /> ISSUANCE. W }'' AZN <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. y, <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY (C <br /> PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> 5. W 0r- > 0 > 0IV <br /> m WM0Mafm <br /> 3 nN �c r; (D ;0 <br /> 6. '5L mcyy0 � 3 <br /> Z N ° <br /> 7. ° �! ` m <br /> =rn: A <br /> I declare that this application(including any accompanying schedule) has been examined by me and to the best of my G)21 C <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of a c ' <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize m <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- : m <br /> sue a permit. I further accept all liability which may be a resu relying on this information I am <br /> providing in this application. I agree to permit county officiaRMIV ring county ordinances or other o <br /> CD <br /> : �: <br /> authorized person to have access&vepremises at any reasonable time for the purpose ofinspection. : o( 2003esSIGN HERE (si ontractor) (date)ETT COUNTY <br /> ZONING ADMINISTRATORZ0N� Z Zy36� .n to 69 e» <br /> C'C N(T N N <br /> NOfT Ut <br /> TOWNSHIP PERMITS MAY BE REQUIRED I�2N 3 <br />