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Burnett County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator 'D 0 0 <br /> APPLICATION FOR LAND USE PERMITS 3. <br /> r <br /> / Jift�e4A)mj1as <br /> OWNER <br /> {- <br /> K Kerry OIL -! /r 1 t n 0l— TELEPHONE <br /> m <br /> nn/� O <br /> MAILINGADDRESS '7;t t I Pt g Iket, Kj � (3 c+y IV, S�yd3o � <br /> r � <br /> o <br /> PROPERTY ADDRESS <br /> sof & QssdL wc� vided 2n}wr�yY 1 octtnF f <br /> LEGAL DESCRIPTION(see lax receipt) Y'I i Cu bc.�,nQ ttir� 2 A~ <br /> DWELLING/BUILDING ® GARAGE/ACCESSORY STRUCTURE 11 ADDITION 1:1I U, o - <br /> TYPE OF PERMIT(S): C <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION ❑ L1 <br /> STRUCTURE/ADDITION USE: CA Q%n m V` <br /> o' <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) rn <br /> BUILDING CONTRACTOR: -512 <br /> v <br /> A <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN SY:X 11 SHEET OF PAPER. ANY INCOMPLETE OR 3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. -n m < A <br /> M y J <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) O n <br /> -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 <br /> NORTH(N). y to o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B) BUILDING(S)TO m v <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. <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 40 <br /> MUST BE SIGNED AND DATED BY THE OWNER. \,o o -41 <br /> v <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN 0 <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. o �' <br /> CONDITIONS OF PERMIT: ,O e <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., ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> 5. <br /> M m 0 r D O D O 13 <br /> m cm M0 m o. f m <br /> 6. m �'c9 nm xam .'0 <br /> 9 OS N N (A O = 3 <br /> Z C m N O : O (O <br /> T. O <br /> — � , m <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the best of my tj ISC: <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of [ m n <br /> all information contained in this application (including any accompanying schedule)and I further declare that I recognize m 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 m[ o <br /> providing in this application. I agree to per it county officials charged with administering county ordinances or other <br /> authorized arson to have accessjp the ao6ye described premises at any reasonable time for the purpose of Inspection. m a 'n <br /> m <br /> 2, <br /> > : <br /> SIGN HERE f^ a <br /> (sig of owner ding contractor) (date) 0 <br /> ZONING ADMINISTRATOR <br /> - fA fA fA fA� N <br /> O N (I W W N O <br /> ONOUt UUtO <br /> T NSHIP PER I S MAY BE REQUIRED <br /> THIS URMIT S ALL XPI E O E YEAR FROM D TE OF ISSUANCE <br />