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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 . <br /> N <br /> N <br /> C <br /> fD <br /> OWNER rJ p�'� �� /7"� TELEPHONED 34,—Al n C <br /> / W w <br /> 49 ID <br /> Opo <br /> MAILING ADDRESS �AA)4CD <br /> �7 LCL <br /> PROPERTY ADDRESS 1 <br /> LOT 3 104 TI}E PLAT OFCLE Q 5fz i=tG S <br /> LEGAL DESCRIPTION(see tax receipt) (»(}Y`T l_o7's 1l Z. A !D 3 p r SrG C lots r.8'r'�(� O ' <br /> 1�+ N <br /> DWELLING/BUILDING 17 GARAGE/ACCESSORY STRUCTUREADDITION 13t a e- rn <br /> TYPE OF PERMIT(S): n <br /> FILLING/GRADING ❑/CAMPING UNIT 1:1 SUBDIVISION <br /> ❑ <br /> STRUCTURE/ADDITION USE: A640 ° <br /> (Home/Cabin; Commercial Business;Bedroom; Deck;etc..)/ r to <br /> BUILDING CONTRACTOR: IAT���-t C��E/�/KJ/F�- ��1NOp�� G�� • <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. p <br /> � m <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) O aIn <br /> C <br /> -n z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. m o <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATECD <br /> NORTH(N). y 3 <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO m -o <br /> CENTERLINE OF ROAD,(C)BUILDING(S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF Z <br /> LAKE,STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. t/\I o <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES TO 1 <br /> BUILDINGS, ROADS, LAKE, LOT LINES. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. 0 <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC., THE PLANS �. <br /> MUST BE SIGNED AND DATED BY THE OWNER. (� f <br /> O ' <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIF�jd,MAY BE DONE WHEN .'"�» S, <br /> NEEDED. ��//��((``//�JJJ�l__JJ�� 2 .� <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. o <br /> CONDITIONS OF PERMIT: j <br /> ApR R <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS PERMIT � j ) <br /> ISSUANCE. //��''p <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SQ49AW7 <br /> 3 NO GRADINGED. OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY zON'N�jO{j 4pr O <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER • I <br /> SETBACK AREA. <br /> 5. <br /> A W DOD :E m <br /> 6. This structure to be used as private residential 3 a m x a <br /> garage/storage only. Not to be used for human C c y " 3 <br /> 7. Z " o ' ' <br /> habitation. _ o m <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the best of my c C <br /> knowledge and belief it is true,correct and complete. I acknowledge that 1 am responsible for the detail and accuracy of n , <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize ' w m o mm <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 <br /> authorized person to have access to the above describees at any reasonable time for the purpose of inspection. `D <br /> o <br /> // CD m <br /> SIGN HERE �`�(Lt`� � Cl <br /> (s gn f owner or buildi g nt <br /> ZONING ADMINISTRATOR <br /> EA W <br /> NfA0 N <br /> 3ao6 � N (TOO <br /> cnocn cnoo <br /> TOWNSHIP P RMITS MAY BE REQUIRED <br /> �/7a star'is <br />