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Burnett County 7410 Co. Rd. K,No. 102,Siren,W154872 Office of Zoning Administrator - o 0 <br /> APPLICATION FOR LAND USE PERMITS :3 <br /> AY_ <br /> OWNER /�dGr '7 B�S K1 TELEPHONE 7/S- 7V 3/9,7 n <br /> v <br /> MAILING ADDRESS y9io ��t��4vr S•© f�y�s• d'��✓��y�7 <br /> / V m <br /> PROPERTY ADDRESS 6/;pC// <br /> / <br /> LEGAL DESCRIPTION(see tax receipt) 18� � ��(! L/ (-S/YL V/f 1)121 <br /> DWELLING/BUILDING ❑ GARAGET/ACCESSORY STRUCTURE ElADDITION J�J/" o <br /> TYPE OF PERMIT(S): <br /> FILLING/GRADING ❑](�CAMPING UNIT El <br /> El ,SUBDIVISION ❑ <br /> STRUCTURE/ADDITIONUSE: ��i+tnve p J��D f0' R,114 10"4141 14 xla/epee ldi 1645r.^,..:f o �^ <br /> (//Home/Cabin; Commercial Business; Bedroom; Deck;etc.) rn <br /> BUILDING CONTRACTOR: LtR.Pfr� �sn.R�2v o�S�-7].79 »w <br /> d <br /> v <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR m <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. T <br /> O <br /> N <br /> DIRECTIONS FOR PLOT PLAN DRAWING (AERIAL OR TOP VIEW) 0 <br /> -n a <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. 7 ? <br /> 0 <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m <br /> NORTH(N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO m <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. 1 0 <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 /> S. 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 0 <br /> MUST BE SIGNED AND DATED BY THE OWNER. � a <br /> F <br /> o <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN o <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. <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY <br /> PERMITTED. <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS,ETC.,ALLOWEDTHIN THE REQUIRED WATER <br /> S TBACK AREA. ?' �'Jf_ �� <br /> rA <br /> 6. m yiu0MQ CL : m <br /> @ B am x �' (D X! <br /> 'omCNv, <br /> 7.declare that this application(including any accompanying schedule) has been examined by me and to the best of my -= p <br /> knowledge and belief it is true,correct and complete. 1 acknowledge that I am responsible for the detail and accuracy of d n E» C <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize m E o m <br /> that this information I am providing will be relied upon by the Coun of Burnett Wisconsin in determining whether to is- <br /> suepro providing <br /> permit. I further accept all liability which may be a result n is information I other m <br /> providing in this application. I agree to permit county officials Is n rdinances or other <br /> authorized perso o ave acc s the above described premi ti Urpose of inspection. <br /> -n O <br /> M N <br /> VC <br /> CD <br /> SIGN HER 1 T7 2 <br /> ( nat a of ovfn r r bul g '—(date . <br /> ) '�.: ? o' <br /> ZONING ADMINISTRATOR RNETT COUNTY Q ® OZ v <br /> ZONING <br /> TOWN HIP PERMITS MAY BE REQUIRED <br />