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e)(b 6evnp <br /> Burne4.t County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator y m o O <br /> APPLICATION FOR LAND USE PERMITS 3. <br /> TO THE ZONING ADMINISTRATOR: The undersigned hereby makes application for a Permit for the work <br /> z s <br /> described and located as shown herein. The undersigned agrees that all work shall be done in actor- R <br /> dance with the requirements of the Burnett County Land Use Ordinance,Sanitation Code,and with all other <br /> applicable County Ordinances and the laws <br /> and regulations of the State of/Wisconsin. / y <br /> OWNER )", FL `n <br /> TELEPHONE <br /> EL NOR/N ou�N SIN/ 60) <br /> HOME ADDRESS ( Q Cf��V7-�W� <br /> v 41 AIN <br /> EMERGENCY/FIRE NUMBER NC� <br /> ROAD NAME �45(-FAuf=- D,e(I� T' <br /> LEGAL DESCRIPTION(see tax receipt) ..OTS O -F C.SKA 31 (-7 y <br /> CONTRACTOR J ,+v <br /> o <br /> TYPE OF PERMIT(S): DWELLING/BUILDINGGARAGE/ACCESSORY STRUCTURE ADDITION— ii - <br /> N <br /> O <br /> SANITARY—,2(—PRIVY FILLING/GRADING CAMPING UNIT SUBDIVISIONS <br /> o $ <br /> STRUCTURE/ADDITION USE: NA1C — /T-T� .� Q <br /> (Home/Cabin;Commercial Business; Bedroom; Deck;etc.) L) lf� <br /> A PLOT PLAN MUST BE PROVIDED ON A SEPARATE SHEET OF PAPER. ANY INCOMPLETE OR <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. m m <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (Aerial or top view) O 3 <br /> �I 9 Ur <br /> 1. All required dimensions or distances to be shown or drawn to scale. 0 o g <br /> 2. Show the location and size of all existing buildings(EB) and all new buildings(NB)and indicate o. <br /> North (N). rn M <br /> 3. Show dimensions in feet of the following: a building(s) to all lot lines, b building(s) to centerline of m <br /> road, (c) building(s) measurement to the ordinary high water mark (OHWM)of lake, stream or river. r <br /> 4. Show the location of the well (W), septic tank (ST)and drainfield (DF), and all distances to buildings, CC <br /> — <br /> roads, lake, lot lines. <br /> 5. Indicate if a walkout basement is planned and show areas to be graded or filled. C <br /> 6. If separate plans are submitted by an architect, engineer, builder, contractor, etc., the plans must be — <br /> signed and dated by the owner. (f� 0, <br /> 2 <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED FOR ONSITE VERIFICATION BE- 7D ° <br /> FORE A PERMIT CAN BE ISSUED. <br /> o �— <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. m Go <br /> CONDITIONS OF PERMIT: o <br /> N <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT s <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. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN 75 FEET OF THE <br /> OHWM OF LAKES, PONDS, RIVER UNLESS SPECIFICALLY PERMITTED. <br /> 5. <br /> f <br /> 6. <br /> 7. m <br /> N 0 dCtJ <br /> 9 < N z O fQ <br /> P d,: [ _ i M <br />