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Burnett County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of ZoningAdministrator v <br /> APPLICATION FOR LAND USE PERMITS 3 4 <br /> r <br /> N � <br /> ER GG ;6/ TELEPHONE <br /> C etL &/Z 36 3/V <br /> HOME ADDRESS eoVa r (2iP,dkt? t& <br /> o <br /> � r <br /> EMERGENCY/FIRE NUMBER �c � ROAD NAME <br /> rnt <br /> LEGAL DESCRIPTION(see tax receipt) �e L /� a <br /> 4 39 OZ d O� X70 /�.¢itf�,okP 9�iG'eS / Ca <br /> Q <br /> DWELLING/BUILDING ❑ GARAGE/ACCESSORY STRUCTURE)OdADDITIO` N 0 W ❑ y o <br /> TYPE OF PERMIT(S): c� <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION ❑ 5 <br /> STRUCTURE/ADDITION USE: ���� o <br /> / (Homme/Cabin; Commercial Business; Bedroom; Deck;etc.) y <br /> BUILDING CONTRACTOR: ZZ&Z APek f t dG' /3 al A? 43 P- yc-f—Q. 1A p ry�} C� <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. 3' i <br /> N <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) p ?L <br /> M z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. m ;b2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE <br /> NORTH(N). <br /> 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 /> SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES TO <br /> BUILDINGS, ROADS,LAKE,LOT LINES. O <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,CONTRACTOR, ETC.,THE PLANS <br /> MUST BE SIGNED AND DATED BY THE OWNER. c <br /> o � t <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAYBE DONE WHEN0 <br /> NEEDED. Cr <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. c <br /> CONDITIONS OF PERMIT: e 0&, <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. 1 <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 /Lvfe less ~ � ' m d oho <br /> 6. C� L,I � aa M <br /> 7. ca j <br /> P E 70 <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the best of my 2! ip <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of m 0 '• S <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize �y��F CD <br /> C m .O <br /> that this information I am providing will be relied u sconsin in determining whether to is- p O <br /> sue a permit. 1 further accept all liability which ma s t ett relying on this information I am d p <br /> providing in this application. I agree to permit c d t i Hering county ordinances or other m E <br /> authorized person to have access to the above d ribed premises at any reasons I i r for the purpose of inspection. T <br /> JUL 3 20M <br /> SIGN HERE �-3- <br /> ign ure o ow ull (date) <br /> COUNTY ' <br /> ZONING ADMINISTRATOR Y 1 <br /> N N fT N N V1 UI <br /> V1 LR 0 <br /> TOWNSHIP PERMITS MAY BE REQUIRED 0 0 0 0 0 0 0 <br />