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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 0 <br /> N O <br /> el- / TELEPHONE/ <br /> OWNER � &s ) 182- q700 Nn <br /> o <br /> SSn ;t-5— CD O <br /> MAILING ADDRESS ' 0 S <br /> CR96 _ ° <br /> PROPERTYADDRESS ��c Sfi I/C [ C nC� Uff� /l.C��O U ~ <br /> Ll,zql-l0 S 7`�/Ol/2 l�CC.� �I C�/�'f 5 !•S�/c� ,�) Lo /S� t�� <br /> LEGAL DESCRIPTION(see tax receipt) qO_I&_ �3 '6' r.?5t' Ale /�l G�f f' �' <br /> DWELLING/BUILDING ❑ GARAGE/ACCESSORY STRUCTURE X ADDITION ❑ C rn ° <br /> TYPE OF PERMIT(S): n <br /> FILLING/GRADING 1:1 CAMPING UNIT��BDIVI N ❑ _ � -`� T <br /> STRUCTURE/ADDITION USE: <br /> ST 44 Cie U ° <br /> AA �/� (Home/Cabin;Commercial Business;Bedroom; Deck,etc.) m <br /> Al o <br /> BUILDING CONTRACTOR: 2 l r I I�N 501 L/Cr f l S <br /> m <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8Y:X 11 SHEET OF PAPER. ANY INCOMPLETE OR <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. p � <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) 0 a O <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. (� Z <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m A <br /> NORTH 0C <br /> 3. SHOW D M)ENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO m <br /> CENTERLINE OF ROAD,(C)BUILDING(S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF o <br /> LAKE,STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. <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. bbb <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BEG FILLEN <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDEF ETC., THE PLANS j. o <br /> MUST BE SIGNED AND DATED BY THE OWNER. S <br /> v <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE ViF IFICAiION 7D. <br /> N = o <br /> NEEDED. / Wr °- <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. eU/9� Z <br /> CONDITIONS OF PERMIT: <br /> co <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERM//VG' UNry (1 <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 W <br /> PERMITTED. n <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER I� <br /> SETBACK AREA. <br /> 5. <br /> M d n a £ m <br /> 3 a m Ox T. ;a6. 4 0 C N N ° 3 <br /> UE <br /> 7. o n'2 <br /> M <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the best of myL7 c C_ <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of m n fn <br /> CL v M <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize m ; O mo <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- <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 d <br /> providing in this application. I agree to permit county officials charged with administering county ordinances or other 0 <br /> m m <br /> authorized person to have access to the above desc 'bed premises atjjnyea onable time for the purpose of inspection. oCD , <br /> CD <br /> SIGN HERE �• ��:�� 3'a E n <br /> (signature f owner or building contract r) (date) <br /> ZONING ADMINISTRATOR I 1 v <br /> d1 ffA0N <br /> N a N N O O <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> aaso�- <br />