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Burnett County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator - o 0 <br /> APPLICATION FOR LAND USE PERMITS 3. <br /> 41 <br /> 41 <br /> C ^ <br /> OWNER TELEPHONE CZG <br /> MAILING ADDRESS '� O Q � /1 i_. r S- p7 J 0 <br /> PROPERTYADDRESS <br /> YJ _ <br /> LEGAL DESCRIPTION(see tax receipt) <br /> �� V. 0� <br /> DWELLING/BUILDING ❑ 'GARAGE/ACCESSORY STRUCTURE ❑ ADDITION SL y o -- <br /> TYPE OF PERMIT(S): r^) <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION ❑ o <br /> STRUCTURE/ADDITION USE: � N a1 7 s- -', S-, r rl AM„nom I O P{ -1 C.4— <br /> �p <br /> (Home/Cabin; C mercial Business;Bedroom; Deck;etc.) W <br /> BUILDING CONTRACTOR: 04 L4,-(T>-- jJk* - L,2,t j L.0 <br /> m <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 81/:X 11 SHEET OF PAPER. ANY INCOMPLETE OR 3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. -n - <br /> O y <br /> tl N <br /> DIRECTIONS FOR PLOT PLAN DRAWING (AERIAL OR TOP VIEW) p <br /> CD <br /> n a <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. TRt A <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m o <br /> 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 m <br /> CENTERLINE OF ROAD,(C)BUILDING(S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF ti-o <br /> LAKE, STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. Z <br /> 4. SHOW THE LOCATION OF THE WELL(W), $EPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES TO lJJ <br /> BUILDINGS, ROADS, LAKE, LOT LINES. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE EF -4CfQ v <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILD �R, o <br /> MUST BE SIGNED AND DATED BY THE OWNER. <br /> / IHE PLANS o <br /> u <br /> �`�� f <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VEyRIFICAS#p TY BE DONE'YQH4M 0 0 1 <br /> NEEDED. q / <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. Iti/� C �O�C J/l o ` <br /> CONDITIONS OF PERMIT: co <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT/V//VG vNTY <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, INCLUDINGRETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> 5. L J`e`t cc <br /> SiKAREAi �� ` , <br /> .10Y` C a�1Gs eCQ I'//J <br /> 6. / m or- > 0 > 01V <br /> 3 nm 0,2' c <br /> a CD 0 .3 3 <br /> 7. Z N m o 1 <br /> P T <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the best of my - »' A <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of m 0 d C <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize 0.m E!, 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 <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 <br /> providing in this application. I agree to permit County officials charged with administering county ordinances or other m <br /> authorized pe ve access to the above described premises at any reasonable time for the purpose of inspection. m <br /> �i O <br /> SIGN HERE �7 - /Y->VO4-� d, <br /> (signature of owner or bu g c a (da ) a <br /> i <br /> ZONING ADMINISTRATOR 9 r 6 L <br /> �.:yN Cn N NOO <br /> V{(T O (I (T O O <br /> TOWNSHIP RMITS MAY BE REQUIRED �37 n/ <br />