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Rurnett Nunly 7410 Co. Rd. K, No.102,Siren,WI 54872 Office of Zoning Administrator O Z <br /> APPLICATION FOR LAND USE PERMITS � ° <br /> r <br /> y O <br /> OWNER (�� TELEPHONE N��C - 71G G a <br /> MAILING ADDRESS ,),5) n e✓ti P V m d <br /> l v �� . n w L 'W E2% 0 <br /> _ <br /> PROPERTY ADDRESS 2t <br /> LEGAL DESCRIPTION(see tax receipt) G L u Q I10 <br /> m <br /> DWELLING/BUILDING ❑ GARA E/ACCESSORY STRUCTURE ADDITION �� <br /> TYPE OF PERMIT(S): 0 <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION ❑ a'` <br /> ' <y� <br /> STRUCTURE/ADDITIONQSE: �'r "� (/ +p f N rci d �/�.�,C L„t,X Ll-4w pen )�pU3e d v_;1 <br /> (Home/Ca In; Commercial Business; Bedroom; eck;etc.) '�e- <br /> Irn v l <br /> BUILDING CONTRACTOR: (iL/!�r^ / N M.41., O <br /> I"t.L Z -i <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8'h X 11 SHEET OF PAPER. ANY INCOMPLETE OR <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. -n I� <br /> O b <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) � y <br /> T CD <br /> a <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. Z <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m m D <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 t v <br /> LAKE,STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. Z <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 QJ <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER,BUILDER,CONTRACTOR, ETC.,THE PLANS o C <br /> MUST BE SIGNED AND DATED BY THE OWNER. 3 <br /> ' o <br /> O <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN H o (A <br /> NEEDED. <br /> n <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. Z <br /> CONDITIONS OF PERMIT: O Y) <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT a o , <br /> ISSUANCE. l' <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. Q <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY O � o <br /> PERMITTED. r <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER V <br /> SETBACK AREA. p L '} r� / / <br /> 5. ���l &-47OAkS� Up� BGt/lG l S�lrcr /� p fl- CUUPwry t 4 v(411 ,A4t Yh(tgT*k <br /> g! /r�Gl Wlv'�� Da- ��(!h 'K ��XP 1 0 a m w w cDi m a F m <br /> U o 3 c, <br /> M aco n-a _ >7 <br /> 7. -a . Cy !' oj � <br /> Z <br /> I declare that this application (including any accompanying schedule)has been examined by me and to the best of my o T p <br /> —rni i <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of w n ? S <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize �J C o <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- <br /> G): m <br /> v <br /> sue a permit. I further accept all liability ich may be a result of the County of Burnett relying on this information I am m <br /> providing in this application. I a aWpdrmit county officials charged with administering county ordinances or other m' <br /> authorized person to have above described premises starry reasonable time for the purpose of inspection. m <br /> m = : <br /> o : <br /> SIGN HERE (D <br /> (signature caner or building contr tor) (date) a <br /> E <br /> ZONING ADMINISTRATOR <br /> rl/}-� <br /> / > <br /> l7 <br /> (� <AfA fA I'll N <br /> TOWNSHIP PERMITS MAY BE REQUIRED (v-{/ N N N N O O <br /> u+ o�ncnoo <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br />