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Burnett County 7410 Co. Rd.K, No. 102,Siren,W154872 Office of Zoning Administrator _0 o 0 <br /> APPLICATION FOR LAND USE PERMITS 3. <br /> H ° <br /> d <br /> OWNER Pe eU 4-9&AA Jobksolol TELEPHONE <br /> 0WW <br /> MAILINGADDRESS ( „ <br /> r m <br /> PROPERTY ADDRESS Z c7L-v P <br /> LEGAL DESCRIPTION(see tax receipt) � LI (njG {�. C1 7r � m <br /> DWELLING/BUILDING ❑ GARAGE/ACCESSORY STRUCTURE ISI ADDITION ❑ IW`` �� 0 <br /> TYPE OF PERMIT(S): a <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION , <br /> n�±���� (J // N <br /> STRUCTURE/ADDITIONUSE: ll1'lYW PID VC 4 r��� o � <br /> An �ry (Home/Cabin;Commercial Busine s;Bedroom; Deck;etc.) (n _ <br /> BUILDING CONTRACTOR: r✓IOIIIH(M7 �fkS <br /> v <br /> m <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR T 3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. O <br /> N <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) 0 m <br /> a _ <br /> o Z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. m m p <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE <br /> CNORTH(N). o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO m3 <br /> v <br /> CENTERLINE OF ROAD,(C)BUILDINGD <br /> S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF <br /> LAKE,STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. ° <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. Q <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, CON TOR, ETC.,THE PLANS ,0 <br /> qj <br /> MUST BE SIGNED AND DATED BY THE OWNER. o <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFIF TIO L�fi <br /> o <br /> NEEDED. v <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. M�Y21 / o <br /> CONDITIONS OF PERMIT: QVRN� #1ty <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT G+o <br /> ISSUANCE. A'/t'G t, <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. 'V''Y �'Ov� p, <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY N ^ <br /> PERMITTED. (�7j <br /> 4. NO STRUCTURES,INCLUDING RETAI G WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATERSETBACK AREA. <br /> h k <br /> mmrD � af sCmim <br /> 6. 3n2J <br /> a m CN o 3 <br /> Z w N o : 1 <br /> 7. o m <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the best of my Lj c C <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of m C En <br /> fr11`` n : v, : M <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize W: o m <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- fD <br /> sue a permit. I further accept all liability which may be a result t C un of Burnett relying on this information I am m <br /> providing in this application. I agree to permit county officials����Ing county ordinances or other o : <br /> authorized person to have access to the above described premi t���U for the purpose of inspection. D <br /> m o : <br /> CD m <br /> SIGN HERE 5 !x 3 �7— LI �� n <br /> (signature o wne 'Iding contractor) ,�/ Q� (date) C� <br /> ZONING ADMINISTRATOR / v, <br /> ��01e)0 <br /> N (TN O <br /> ((��������{{�� (T O VINO O <br /> TOWNSHIP PERMITS MAY BE�EQUIRED <br />