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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 3 <br /> r <br /> y O <br /> f/1 <br /> C l _ <br /> fD vl) <br /> OWNER '/ -(-( TELEPHONE <br /> MAILINGADDRESS lC -7 -7 jaq k —tA S -S-AAfq jte_ <br /> O <br /> CD <br /> PROPERTY ADDRESS l 7 -[ tF L(S 1� 1 <br /> LEGAL DESCRIPTION(see tax receipt) <br /> DWELLING/BUILDING ❑ GARAGE/ACCESSORY STRUCTURE ❑ ADDITION (n 0 <br /> TYPE OF PERMIT(S): Q <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION ❑ 2: <br /> STRUCTUREIADDITION USE: t)6� over eX f��(� `r � M <br /> I �+ <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) (n `J <br /> m <br /> BUILDING CONTRACTOR: CD <br /> w <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR 3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. -n <br /> O O <br /> itl N <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) O o <br /> T <br /> T Z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m <br /> NORTH(N). W ., o <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 Z <br /> LAKE,STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. 9 <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 <br /> MUST BE SIGNED AND DATED BY THE OWNER. o <br /> o � <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. Z C, Q <br /> CONDITIONS OF PERMIT: P �R 1 <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT <br /> ISSUANCE. 41- <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 r1 <br /> SETBACK AREA. V <br /> 5. peenaWk W - '�` New��m%f reCL X ��r d /U �n <br /> �s per,�l'f. <br /> A W o D0D0 'O <br /> CD Cde+ cma :E m <br /> 6. m F3 im xa <br /> 0 m C y N O 3 <br /> Z C y N O O <br /> 7. O <br /> _ c', ; m <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the best of my G1 p <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of C <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize m C C <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- (n <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 o <br /> providing in this application. 1 9gree to permit county officials charged with administering county ordinances or other m <br /> authorized person to have access to the Bove described premises at any reasonable time for the purpose of inspection. ° 'n <br /> m <br /> CD Di <br /> CD <br /> SIGN HERE �/ " �� J w a <br /> (sign ture of owner or b/uilding cgnnttraacctor) (date) 0 <br /> ZONING ADMINISTRATOR / Lan /4q - <br /> �69 fA fA EA�N <br /> O UIOUIN (NJ10 <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THERMIT SHALL EXPIRE ONE YEAR FROM DATE OF SSUANCE <br /> �mi�- d lefi�r pic,-td tLr by d�� 14/ehr � <br />