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Burnett County 7410 Co. Rd. K, No. 102,Siren,W154872 Office of Zoning Administrator -D c) Z <br /> APPLICATION FOR LAND USE PERMITS 3. <br /> r <br /> N <br /> n I C <br /> OWN <br /> k� Pfd/ &V /� TELEPHONE <br /> MAILINGADDRESS d30 O <br /> m <br /> PROPERTY ADDRESS <br /> r Ll elslyl V P-2- <br /> LEGAL DESCRIPTION(see tax receipt) `�s / _ ' y <br /> to m <br /> DWELLING/BUILDING ❑ GARAGE/ACCESSORY STRUCTURE ADDITION lC]I rn o <br /> TYPE OF PERMIT(S): <br /> FILLING/GRADING ❑ 9AMPING UN)T ❑ SUBDIVISION a <br /> r <br /> 5. <br /> STRUCTURE/ADDITION USE: 6 S �t dd f� e�y� PS <br /> / Home/Ca in'Commercial Business;Bedroom; Deck;etc. (n <br /> d <br /> BUILDING CONTRACTOR: ' ^� <br /> m <br /> CD <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 /> O <br /> 11 y <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) O <br /> -n n <br /> n Z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. n Wo A <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m ;° <br /> NORTH(N). C <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO <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. o <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. Q <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRAD FILLED. N U, <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER; BUILDER, CO 0 SLl <br /> MUST BE SIGNED AND DATED BY THE OWNER. �LI I I 2LANS oNOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DOo <br /> NEEDED. ) <br /> APR 7 <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. I Z <br /> CONDITIONS OF PERMIT: BUR En-COUNTY ° � O <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT ZONING . <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 �. <br /> PERMITTED. �` V <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER k C <br /> SETBACK AREA. /(�� <br /> 6. wi l 1 b-e. CmS 1,°✓eyed. �j`� q ,O <br /> �'�ont 4 ��C L ' <br /> 6. On StPh C t�0tn J� S I�2 l�t�i(� � � l i t��L i Ly LG� Gl/Y Q1l �<-� � 3 = A 0 a c m <br /> I^ V c^ nm x <br /> 7. Q Z r^ mon '4 <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the best of my - A <br /> C <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of w n v. <br /> �' <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize m B o m <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- m t7 <br /> sue a permit. I further accept all liability which may be a result of the County of Burnett relying on this information 1 am G <br /> providing in this application. I agree to permit county officials charged with administering county ordinances or other <br /> authorized person to have access to the above described premises at any reasonable time for the purpose of inspection. m <br /> mo : <br /> m m <br /> SIGN HERE d' <br /> (signatur mer or building comfy t ) (d e) <br /> \ n <br /> ZONING ADMINISTRATOR /G <br /> fA EA fA fA � N <br /> (TO (T (TOO <br /> TOWNSHIP PERMITS MAY BE REQUIRED l H- <br />