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Burnett County 7410 Co.Rd. K,No.102,Siren,WI 54872 Office of Zoning Administrator * c o <br /> APPLICATION FOR LAND USE PERMITS . <br /> C �..Y <br /> n� � f/ d <br /> OWNER �Y �u5 r TELEPHONE a <br /> MAILING ADDRESS ' J D <br /> �o2`rz w. � /Ll r L� iA AAIT(A.& 3 <br /> O0 m <br /> PROPERTY ADDRESS C!moi / ap p I t e'd <br /> LEGAL DESCRIPTION(see tax receipt) L0 T /5 P L,4&f ►✓w MA <br /> DWELLING/BUILDING f0 GARAGE/ACCESSORYSTRUCTURE ❑ ADDITION ❑ Si�Z' 9 TPA,48 rn <br /> TYPE OFPERMIT(S): fi CA.-,4)Z 14 <br /> FILLING/GRADING ❑ CAMP G UNIT ❑ SUBDIVISION ❑ < <br /> N <br /> STRUCTURE/ADDITION USE: <br /> (Home aN Commercial Busines ; Bedroom; Deck;etc.) Q)( U <br /> CIAbLj �-ogor 3�=g��, <br /> BUILDING CONTRACTOR: ��rsn1�2 �719�vf+ Jr„t !J d <br /> I 1 4/ if-IL- v <br /> (D T <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 81h X 11 SHEET OF PAPER. ANY INCOMPLETE OR T 3 (O <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. p <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) G a <br /> In o z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. m m i3 <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE <br /> C o <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 Z <br /> LAKE,STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. 1 ° <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 0, <br /> MUST BE SIGNED AND DATED BY THE OWNER. <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN y. <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. 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. <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY <br /> PERMITTED. G <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> 5. y <br /> m w d 0 m n f m <br /> 6. (D � D " <br /> ai <br />