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rl t ► <br /> Burnett County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS y a I <br /> I L TELEPHONE <br /> G <br /> f <br /> MAILING ADDRESS Aur Aqt>6 <br /> 0 <br /> a, — � <br /> PROPERTY ADDRESS I� <br /> ^-r - Tye _ is <br /> LEGAL DESCRIPTION(see tax receipt) L�-'�" d C r� U r a �D4�7�o� 9 Q <br /> �-y � rn o <br /> OWELLINGIBUILDING LvJ GARAGE/ACCESSORY STRUCTURE I.vr!'}�ADDITION ❑ c <br /> o- <br /> TYPE OF PERMIT(S): o, <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION <br /> STRUCTURE/ADDITION USE: 'N11rn <br /> ee/1 ',<�b-a9b/ (Home/Cabin; Commercial Business; Bedroo e1c.L 8/O Jr m <br /> S55 <br /> BUILDING CONTRACTOR: �\ V G F (p3S Irl o -i <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8'/X 11 SHEET OF P PER. AN INCOMPLETE OR 15�� T 3 C <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. O `^ 1 <br /> bnSi}2 CC o a C) <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) <br /> v <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. m '° O A <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE in \3 <br /> NORTH(N). m <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO a <br /> CENTERLINE OF ROAD,(C)SUILDING(S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF r ,1 Z <br /> LAKE,STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. i P <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES TO O <br /> BUILDINGS, ROADS,LAKE, LOT LINES. N <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER,BUILDER,CONTRACTOR, ETC.,THE PLANS o, f 1 <br /> MUST BE SIGNED AND DATED BY THE OWNER. p <br /> o <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN ^. <br /> NEEDED. Z p. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. P <br /> CONDITIONS OF PERMIT: l Q <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT O <br /> ISSUANCE. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG <br /> SHORELINE. <br /> RADING OR SHORELAND A ERAT ONS ARE ALLOWED UNLESS SPEC F CAL <br /> 3. NOGT <br /> Q1 Q <br /> PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS.ETC..ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. This structure to be used as private residential <br /> 5. NO A( k, h bnzl bra l garage/storage only. Not to be used for human ; m d d > °a f m <br /> n <br /> /j�(-) O <br /> 13 Ea <br /> A <br /> habitation. o 6. O q <br /> (a�t Z CmrycIn i <br /> In <br /> 7. <br /> .n : A <br /> I declare that this application (including any accompanying scneoule) nas oegn exammea Dy me ane to the Dest or my n C <br /> knowledge and belief it is true, correct and complete. I acknowledge that I am responsible for the detail and accuracy of m <br /> all Information contained in this application(including any accompanying schedule)and I further declare that 1 recognize y <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- ; o <br /> sue a permit. 1 further accept all liability which may be a result of the County of Bur I ' i m <br /> n : m <br /> providing in this application. I agree to permit county officials charged with adm' c f c tD o. , <br /> authorized person to have access to the above described premises at any reason I m . <br /> m a ' <br /> SIGN HERE <br /> nat of owner or building contractor) <br /> W i <br /> ZONING ADMINISTRATOR m nal)i aa') <br /> 1 I V Vyl fn N <br /> ZONING <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> /�rHIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br /> �i P�rce. C'a>7 sem. U-lS�to <br />