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Burnett County 7410 Co. Rd.K, No. 102, Siren,W154872 Office of Zoning Administrator _ o° o <br /> APPLICATION FOR LAND USE PERMITS 3. <br /> r <br /> w o w <br /> m v <br /> c <br /> m <br /> OWNER yl,'y P� gI F TELEPHONE no 1! <br /> N� _I - /I m <br /> MAILINGADDRESS. 27517 T'IJ-ewsaM AMA R�Cu,�S�tr L&, O <br /> Pfan1. Iv�� <br /> } tr m <br /> PR6PER#ABOREBS <br /> LEGAL DESCRIPTION(see tax receipt) .4 t� C5� v� 10 ZOy ;N Nr <br />�cN6tA 96 Tk"60, DWELLAIUILDING ❑ GARAGE/ACCESSORY STRUCTURE ❑ ADDITION 1=J SGpp�P441' 7 to 0 <br /> TYPE OF PERMIT(S): IN <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ S a <br /> BID SION <br /> ❑ <br /> C� fA <br /> STRUCTURE/ADDITIONUSE: 61'le. ��at^ sc-yeQr1 �-A // X/ / o <br /> (Home/Cabin;Commercial Business; <br /> Bedroom;Deck;etc.) / <br /> BUILDING CONTRACTOR: &A Sorts Wood Wft-k;t.r, 1 15){OJ <br /> 12 <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8'/x X 11 SHEET OF PAPER. ANY INCOMPLETE OR <br /> 3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. -n <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) O a l' O <br /> nZ <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. t7 m -b �u <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m r <br /> NORTH(N). Co <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 <br /> LAKE,STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. I 1 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 2. <br /> MUST BE SIGNED AND DATED BY THE OWNER. o <br /> q <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN � o <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. o <br /> CONDITIONS OF PERMIT: <br /> 1 <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT y� <br /> ISSUANCE. p <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 /> X m <br /> r 0 O a 0 M <br /> m 3E M <br /> 6. 3nmOwn <br /> v mCy " o � 3 <br /> 7. Z p, (Do <br /> o -n' <br /> 1 declare that this application (including any accompanying schedule) has been examined by me and to the best of my c <br /> knowledge and belief it is true, correct and complete. I acknowledge that I am responsible for the detail and accuracy of d 0v, <br /> all information contained in this application(including any accompanying schedule)and 1 further declare that 1 recognize o 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 d <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 described premises at any reasonable time for the purpose of inspection. ° o <br /> v3 <br /> SIGN HERE Z � <br /> n : <br /> (signature w wilding contractor) (date) <br /> ZONING ADMINISTRATOR / <br /> fA fA di fA�N <br /> N GN N O O <br /> TOWNSHIP PERMITS MAY BE REQUIRED yV <br />