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Burnett County 7410 Co. Rd. K, No. 102, Siren,W154$72 Office of Zoning Administrator o 0 <br /> APPLICATION FOR LAND USE PERMITS �. <br /> r <br /> � -��,�p p -(70/.tel <br /> OWNER - <br /> �. �� 1. -:✓L.YuI_� TELEPHONE // <br /> MAILING ADDRESS` ,�S/ - v f <br /> /' L.zLI <br /> j � �-� v I r <br /> PROPERTY ADDRESS -4- I o <br /> L 4 4+)e" Rlo& )h'�t--I{ye� IIou) s!u'�-EoLwl,rnev a") <br /> LEGAL DESCRIPTION(see tax receipt) ' chIih vZrj;TplVrl�lip �/DN�G�12Ahq?�llo(.WC$Qvul lr) rnWill 5CG4AI:) __7 <br /> DWELLING/BUI4DING.LJ GARAGE/ACCESSORYSTRUCTURE ' ADDITION LJ rn 0 <br /> TYPE OF PERMIT(S): <br /> a <br /> FILLING/GRADING 1❑--�CAMPING,UNIT4TJI� SUB <br /> DIVISION ❑. <br /> STRUCTURE/ADDITION USF. f c'IL7�; ^ QC -. ° \ <br /> (� IrO7 <br /> (H *mee'/�C, ) l- <br /> a�b�in, Commerual Business;' u Bedroom; Deckf-etc. <br /> BUILDINGCONTRA,CTOR: 1•( W <br /> -,ioz' QjY1� 1 Lu 1 r),I �: )��JI6' <br /> A PLOT PLAN.MUST BE PROVIDED ONAT-LEAST AN Y X 11 SHEET OF.PAPER. ANY INCOMPLETE OR 3 '� <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. I� A c <br /> DIRECTIONS FOR,PLOT PLAN'DRAWING' SAERIAL OR TOP VIEW) J YI O te. , O n <br /> Z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE., r f/oa'✓I Q m ^ A <br /> 2. SHOW THE LOCATION AND.SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m <br /> NORTH(N).. N `- "\ o <br /> 3. SHOW DIMENSIONS W FEET OF T14E FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO m _ 3 <br /> CENTERLINE OF ROAD,(C)BUILDINO(S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF ) <br /> LAKE,STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. o <br /> 4. SHOW THE LOCATION OF THE WELL'(W)„SEPTI,c TANK(ST).AND DRAINFIELD(OF),AND ALL DISTANCES TO <br /> BUILDINGS,ROADS,LAKE, LOT LINES. G <br /> •5. INDICATE IFMA WALKOUT BASEMENT.IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. ( N <br /> 6. AF SEPARATE-PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER,BUILDER,CONTRACTOR,ETC.,THE PLANS s <br /> MUST BE SIGNED AND DATED BY THE OWNER. o <br /> t7 0 <br /> NOTE: BUILDINGISTRUCfURE LOCATIONS MUST BE'STAKED SO AN ONSITE VERIFICATION MAYBE DONE WHEN a Q _ <br /> NEEDED. (»� <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. o �v d <br /> CONDITIONS OF PERMIT: (v <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT ^ ~ <br /> ISSUANCE. J <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY Q <br /> PERMITTED. C� <br /> 4. NO STRUCTURES, INCLUDING RFr""""'^`"'"' ' c .Tr Al i n%mPn moruw TRP RFOIIIRFD WATER <br /> SETBACK AREA. This Structure to be used aS private residential <br /> 5' garage/storage only. Not to be used for human 71 m o r D O D o M <br /> 6. habitation. g 3 M n A <br /> p N C <br /> 7. Z cG0oi �ao � <br /> I declare that this application (including an accompanyingschedule has been examinea D me ane ro ine best of m <br /> PP (� 9 Y ) Y Y G) � : v <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 _ ' a m <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- <br /> O' 0 : <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 i o <br /> providing in this application. I agree to permit county officials charged with admin <br /> .authorized person to have access to the above described premises at any reasonab i t <br /> m D ? <br /> II � <br /> SIGN HERE <br /> ( g tura 4 r or building contractor) APR (gat06 <br /> ZONING ADMINISTRATOR <br /> BURNETT COUNTY <br /> TOWNSHIP PERMITS MAY BE REQUIRED ZONING <br /> THIS PF MIT SHALL EXPIRE ONE YEAR FROM DAT9 OF ISSUANCE <br /> I�2 ��14-d- Je+4e,( I- c'lid fv Abe Th amCS S- 0_,3>-06 <br />