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Burnett County 7410 Co. Rd.K, No. 102,Siren,WI 54872 Office of Zoning Administrator - 0 0 <br /> CD APPLICATION FOR LAND USE PERMITS 3. <br /> N <br /> J � <br /> OWNER S�e(� 1 TELEPHONE 0 <br /> MAILINGADDRESS ll bf O� <br /> PROPERTY ADDRESS <br /> LEGAL DESCRIPTION(see tax receipt)w 1' `c 7 6^ J�{n ts�. p/� � <br /> DWELLING/BUILDING Imo—GARAGE/ACCESSORY STRUCTURE ❑ ADDITION ❑ L-f•.�}ZI� LS�IO CYC 5' <br /> TYPE OF PERMIT(S): �Q <br /> FILLING/GRADING CAMPING UNIT ❑ SUBDIVISION ❑ <br /> STRUCTURE/ADDITONUSE: W 0' <br /> Ho abin;Commercial Business;Bedroom; Deck;etc.) En <br /> BUILDING CONTRACTOR: <br /> v <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. m c. <br /> M N <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) O m <br /> � n <br /> T Z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. <br /> 0 m � <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m <br /> NORTH(N). <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 <br /> LAKE,STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. Ur o <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 GRADEDILLED. N <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER,CONT TC., THE PLANS <br /> MUST BE SIGNED AND DATED BY THE OWNER. 3 D <br /> V' <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFIC}TION MAY �o QJ <br /> (( ) <br /> NEEDED. / <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. A,,- Z C' <br /> CONDITIONS OF PERMIT: eC/AN� 9 .0 <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMITZ�1�CQ1j �YYYvvvv }� <br /> ISSUANCE. N//16 Nt)e <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. t ^ <br /> 4. NO STRUCTURES,INCLUDING TAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATERuj <br /> 5 k`SETBACK AgEA. n ; (` <br /> 6. Q <br /> m CW 0o <br /> N . 3 <br /> 7. Z N O : O <br /> O T G m <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the best of my A <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize C a N O : mo <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to isCD <br /> - <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 <br /> providing in this application. I agree to permit county officials charged with administering county ordinances or other d <br /> authorized person to have access to the above described premises at any reasonable time for the purpose of inspection. ° W <br /> T o : <br /> MCD E <br /> SIGN HERE11�9'ze, 02 fn <br /> (signure o er buil g ontractor ate) a <br /> at <br /> i <br /> ZONING ADMINISTRATOR / - C <br /> fA f9 EA fR N <br /> NU NL" 0 N N Omc" o O <br /> TOWNSHIP PERMITS MAY BE REQUIRED fVV <br />