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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 /> (n <br /> F, 7113 a J <br /> OWNER J )"13 Ev" TELEPHONE 2.-� ��' oTP <br /> n C J (-�^ � O <br /> MAILING ADDRESS `�1 � �J C, W%4,y0,e (rA) �. �/� (9►' fMIJ 53 � <br /> ;;�� <br /> PROPERTY ADDRESS p q"S- O fCGl �y IJ`/ S I ✓ t!.bT`'3 <br /> Q cn <br /> LEGAL DESCRIPTION(see �x receipt) _ — (^ m o <br /> I DWEIlLIft6.i,I1LD1 GARAGE/ACC SSRY STRUCT^RE YVJ ADDITION ❑ - ` 0 <br /> TAARV&$ N YVV CCS I �l/G� : % l�i W.1 Cr <br /> FILLING/GRRADING CAMPING UNIT u SUBDIVISION ❑ <br /> STRUCTURE/ADDITION USE: G 4 !?A&E W <br /> EP <br /> (Horne/Cabin; Commercial Business; Bedroom; Deck; etc.) m <br /> BUILDING CONTRACTOR: EPLK Sa i.PI <br /> v <br /> vVoP-K G4021E '`L 5 — 7`-/ 7— 0�6-U <br /> CD <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. 0 W <br /> W y <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) 0 m <br /> n n <br /> TI � Z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. m <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE �Q <br /> NORTH(N). W Q ` 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 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. <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 C 1 <br /> MUST BE SIGNED AND DATED BY THE OWNER. O W <br /> o � w <br /> NOTE: BUILDINGISTRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN 0W <br /> NEEDED. <br /> I <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. o /� Q <br /> CONDITIONS OF PERMIT: v <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT -� \ <br /> ISSUANCE. W <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. GQ <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY <br /> PERMITTED. W <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. ara a/stora a only. Not to be used for human <br /> g g g Y CWM0oaom <br /> 6. habitation. 3 A <br /> -o o m C <br /> 7. o my ia`< ' ,'0 <br /> h....,y " <br /> M <br /> I declare that this application (incu,q uv..vu,rou�n,y a.,ucuu.c� uua ucay. cwcu uucu Uy we auu wane best of my <br /> knowledge and belief it is true, correct and complete. I acknowledge that I am responsible for the detail and accuracy of m n <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize m CD <br /> m <br /> that this information 1 am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- cn t7 <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. I agree to permit county officials charged with administering county ordinances or other <br /> authorized person to have access p4he above described premises at any reason io m n ; <br /> D CD _n <br /> SIGN HERE <br /> (sig �ofner or contractor) (date) o <br /> t a, <br /> ZONING ADMINISTRATOR <br /> 9-2-0-041111 U far w do o 69 S <br /> TOWNSHIP PERMITS MAY BE REQUIRED BURNETT COUNTY O <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSU/+� <br /> n ING In r, mac l- y�0 <br />