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Burnett County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator v G) Z <br /> APPLICATION FOR LAND USE PERMITS 3 <br /> V1 0 <br /> _ C <br /> //'' N <br /> OWNER <br /> G(J/��/A tnn ©RE'R�6 J rs <br /> TELEPHONE <br /> HOME ADDRESSR E:L b j &0& NA) �1/(V v r � <br /> EMERGENCY/FIRE NUMBER3LczS y ROAD NAME \ZUP- o <br /> LEGAL DESCRIPTION (see tax receipt) LO� , 1p�l� Ll ` cn <br /> y <br /> TYPE OF PERMIT(S): DWELLING/BUILDING-GARAGE/ACCESSORY STRUCTURE ADDITION <br /> CL <br /> N . <br /> SANITARY PRIVY FILLING/GRADING CAMPING UNIT SUBDIVISION <br /> cn <br /> STRUCTURE/ADDITION USE:_ �Vee'�r[hJ� 11 x y(j � /I <br /> (Home/Cabin; Commercial Business; Bedroom;Deck;etc.) <br /> v <br /> m <br /> A PLOT PLAN MUST BE PROVIDED ON A SEPARATE SHEET OF PAPER. ANY INCOMPLETE OR T 3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. <br /> /0 N <br /> DIRECTIONS FOR PLOT PLAN DRAWING' (AERIAL OR TOP VIEW) O a > M�, <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. m m <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS (NB)AND INDICATE <br /> NORTH(N). <br /> /C n l�l <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES, (B)BUILDING(S)TO m , v <br /> CENTERLINE OF ROAD,(C)BUILDING(S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF LAKE, Z <br /> STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. o <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES TO BUILD- <br /> INGS, ROADS, LAKE, LOT LINES. I 1 <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. N �W <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC.,THE PLANS I <br /> MUST BE SIGNED AND DATED BY THE OWNER. o <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED FOR ONSITE VERIFICATION BEFORE A PERMIT CAN BE " ° !n <br /> ISSUED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. c O <br /> CONDITIONS OF PERMIT: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT <br /> ISSUANCE. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. I{�y <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY <br /> PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN 75 FEET OF THE OF LAKES, <br /> PONDS, RIVER UNLESS SPECIFICALLY PERMITTED. /J I�� <br /> 5. o/u 0�i rdtiOYv //N� 1C rx✓� v ��L]� p <br /> (( ,e� X17 Qr, 0017 <br /> W4e5 �i4 GC��' C 2 ° C o a M <br /> 3 nm o g' m <br /> �. <br /> be r2ina��.' 'JUN 41998 � � " N o i �� 3 <br /> Z N <br /> I declare that this apphsettoh(including any accompanying schedule) o m <br /> y : rn <br /> ha �q EtIr <br /> to the best of my t3 c p <br /> knowledge and-b6lief it is true,correct and complete. I acknowledge that 17r1ffe: � e detail and accuracy of O: ' a c c <br /> all information contained in this application(including any accompanying schedul declare that I recognize ()) m 'o . . . <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- oO O <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 CD <br /> a <br /> authorized person to have acces to the above described premises at any reasonable time for the purpose of inspection. m <br /> M <br /> CD <br /> SIGN HERE � ' <br /> (si tur fowner or ui ntractor) date) <br /> ZONING ADMINISTRATOR <br /> N <br /> M P O N <br /> U1 UtNP <br /> TOWNSHIP PERMITS MAY BE REQUIRED 0 0 0 0 0 0 0 <br />