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Burnett County 7410 Co.Rd.K,No.102,Siren,W154872 Office of Zoning Administrator - o <br /> APPLICATION FOR LAND USE PERMITS . < <br /> r Q 1 <br /> OWNER e 1ph e tj t I r' l e j 0 VI �Q ( ( h TELEPHONE (c5I—4J—r—O 7 p CDp <br /> MAILING ADDRESS N(V A) <br /> U CD <br /> PROPERTY ADDRESS ` c3: h <br /> Q-1 i R ,Q b,�Q, p cvyl <br /> r' <br /> e <br /> ^�� <br /> W <br /> LEGAL DESCRIPTION(see tax receipt) 20 C�m s � Lp� ` � � { C 0 <br /> DWELLING/BUILDING ❑ GARAGE/ACCESSORY STRUCTUREX ADDITION ❑ rn ° <br /> TYPE OF PERMIT(S): CL <br /> v ' <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION ❑ S. <br /> S VaT. <br /> STRUCTURE/ADDITIONOSE: 3a--)( 5 ° <br /> (Ho/me/Ca m;Commercial Business; Bedr orn; Deck; etc.) <br /> BUILDING CONTRACTOR: Day, ��CIA-1-Z Omv- 1C6 V) w <br /> IS -'S - l3oa, <br /> CD <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8'h X 11 SHEET OF PAPER. ANY INCOMPLETE OR 3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. 0 y <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) O a G <br /> T l ly Z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. A <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE rn m <br /> NORTH(N). y o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO rn 3 <br /> CENTERLINE OF ROAD,(C)BUILDING(S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF Z <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. ll <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 0 \ <br /> MUST BE SIGNED AND DATED BY THE OWNER. <br /> o <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VESI71EN <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. I �l Z <br /> CONDITIONS OF PERMIT: JUC i) p <br /> 20 <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS99 E� <br /> ISSUANCE. �f f►�J <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELZO Co <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY NING <br /> PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WAT R (t 1 <br /> SETBACK ARE. pJ <br /> 5. /SI 1 ^O ^ ww � raw-4- Mo-- /1J <br /> aCD W�— <br /> 6. �Cn - IlJ OW Q � �� ` " m 3 n� Fad M <br /> '�-o.7S1 � B k1 L �S land . Crai�`r' y/ Z m �y i ° _ M <br /> 7. , � / (Q. N \ O �u1 <br /> '1 ao " ` :cn m <br /> I declare th this application (including an ccom an n sch ule has been examined'by me nd to the b t of m — — <br /> PP (� 9 Y P 9 ) Y Y �� C <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of w ate° fA <br /> : M <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize m m 0 o 0 <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 w <br /> providing in this application. I agree to permit county officials charged with administering county ordinances or other o <br /> authorized persop to h ve access to the above described Rremises at any reasgnable time for the purpose of inspection. m c <br /> SIGN HERE /1 m <br /> (c.. . r Zd�0 to <br /> (signattlre of owner or bu-1 Il ontractor) (date) V.f: i a <br /> ZONING ADMINISTRATOR \ Q <br /> fA fAyfA N <br /> ^"`'w �N 0I� N <br /> 'r}, 00 <br /> VW M v V' <br /> �� TOWNSHIP lholtoPERMITS MAYBE REQUIRED r1 O yl C l i O O <br /> THIS PE MIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE u`1 <br />