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—o <br /> Burnett County 7410 Co. Rd. K, No. 102,Siren,WI 54872 Office of Zoning Administrator - o r-- o <br /> APPLICATION FOR LAND USE PERMITS 3. <br /> V tb"V\(% <br /> OWNER C\o AN R L 1 +J 0 A W L. \ TELEPHONE,` GI;U H O g C> <br /> MAILING ADDRESS <br /> PROPERTY ADDRESS q0 L J \s <br /> pc>` swsw '! -T <br /> LEGAL DESCRIPTION(see tax receipt) -SEC1 S 717W>,3 A-/o R AOk�c (V + S£ SE %ttT (.1 <br /> 1 U) S <br /> DWELLING/BUILDING N GARAGE/ACCESSORY STRUCTURE ❑ ADDITION rn 0 <br /> TYPE OF PERMIT(S): <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION ❑ N <br /> STRUCTURE/ADDITIONUSE: c7�'S�.0 .��V Gyim'N c o <br /> (Home/Ca ' ; Commercial Business;Be oom; Deck;etc.) cn v <br /> BUILDING CONTRACTOR: <br /> v <br /> m <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. -n <br /> �1 N <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) Oin n <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. 0 m A <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m M f <br /> NORTH(N). <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 Z <br /> LAKE,STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. o <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES TO O <br /> BUILDINGS, ROADS, LAKE, LOT LINES. `e <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, CO OR, ETC., THE PLANS 0 0 <br /> MUST BE SIGNED AND DATED BY THE OWNER. F <br /> o o <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIF ATION o <br /> NEEDED. 4tT 2THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. <br /> z <br /> CONDITIONS OF PERMIT: pQ ?OO o Qj w' <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF P RMIZO�COVN7-�. <br /> ISSUANCE. N//VG r , Q <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY <br /> PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> 5. � sw) m W1rDiMOa017 <br /> 6. m 3 'a0 , o: m <br /> rin <br /> 7. o w <br /> m <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the best of my ' ' C <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of fc m 0 : .n <br /> W <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize m o m <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 Gt m <br /> providing in this application. I agree it coq9ty officials charged with administering county ordinances or other <br /> authorized person access at any reasonable time for the purpose of inspection. m o <br /> V � <br /> CD m <br /> SIGN HERE <br /> n . <br /> (signature of own Ilding cont ctor) � (date) <br /> ZONING ADMINISTRATOR <br /> Fn F» <br /> fA fA d)EA 0 N <br /> N N O O <br /> TL NISHIP PERMITS MAY BE REQUIRED <br />