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Burnett County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator - o 0 <br /> APPLICATION FOR LAND USE PERMITS y. o <br /> N .C <br /> N <br /> n <br /> OWNER 'apo 'r a H TELEPHONE <br /> O <br /> MAILINGADDRESS d O6 I l`YIn. SJ O yr <br /> PROPERTY ADDRESS t2 8 63 01� K 4 N e <br /> LEGAL DESCRIPTION(see tax receipt) t W <br /> m <br /> DWELLING/BUILDING ❑ GARAGE/ACCESSORY STRUCTURE IELI ADDITION ❑ O rn <br /> TYPE OF PERMIT(S): n <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION ❑ <br /> N <br /> STRUCTURE/ADDITION USE: t98'13 66 i^� <br /> (Home/ abin; Commercial Business; Bedroom; Deck; etc.) m <br /> BUILDING ONTRA OR: F d <br /> c�. 0 7v P� 3 <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR _3 —� <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. p <br /> N <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) 4 n G <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. m o A <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE _ <br /> NORTH(N). (CYl Q ,11 3 <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO m V 9 <br /> CENTERLINE OF ROAD,(C)BUILDING(S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF I N 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 r,' <br /> BUILDINGS,ROADS, LAKE, LOT LINES. Vv <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. 1 1 <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. C f I <br /> w o 0 <br /> NOTE: BUILDINGISTRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN q 0 N <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. o (� <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. N 1 <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY <br /> PERMITTED. 0 Q. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WAI 1 S FTr, Al I OWFn WITHIN THF RFOI IIRFn WATFR v <br /> 5. SETBACK AREA. This structure to be used as private residential <br /> garage/storage only. Not to be used for human n o a v <br /> M m c,M v <br /> M cmm0ma. £ m <br /> 6. habitation. 0 3, 3 a N y a 3 <br /> a m C H O <br /> 7. o m <br /> 1 declare that this application (including an accompanyingscneouie nas been exammea b me and to the best of m a^ 0 <br /> PP ( 9 Y 1 Y Y � 2 � ; C <br /> knowledge and belief it is true, correct and complete. I acknowledge that I am responsible for the detail and accuracy of A <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize c mo <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- <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 : s+ : o <br /> providing in this appl ation. I a ree to permit county officials charged with administering county ordinances or other ,o ? ��—, <br /> authorized person t ve ae t the above described premises at any reasonable time for the purpose of inspection. ` `D a <br /> r <br /> m Q ?m <br /> SIGN HERE 16 <br /> (sig ure of owner or building contractor) (date) <br /> ZONING ADMINISTRATOR l Cin t stn �' <br /> I�fANHEa�N <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> rjS� o � �� S <br /> TMIS PERMIT SHALL EXPIRE ON Y R FR D TE O S CE <br />