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Burnett County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator v Oz <br /> APPLICATION FOR LAND USE PERMITS 3 P <br /> N 0 <br /> OWNER �-1 TELEPHONE <br /> �c�v� Lf ,il�ca.rv�. ISr�oltZf <br /> HOME ADDRESS I143121341444.So. A-F-�o„ M5gool <br /> EMERGENCY/FIRE NUMBER ROAD NAME L%q&g S.,jejet`2tiC, 3 <br /> ✓r. t 3 . Nl.o.�-P, Go.do , actor- --or *t e041 <br /> LEGAL DESCRIPTION(see tax receipt) r e COr I h Jal.�'°I of r tZ045 j� 3 is l-� eu4 as <br /> ^cra ed 1,.{t�4et So `� <br /> DWELLING/BUILDING GARAGE/ACCESSORY STRUC RE ADDITION�PRIVY ElN <br /> TYPE OF PERMIT(S): c <br /> Q <br /> FILLING/GRADING R CAMPING UNIT ❑ SUBDIVISION o; <br /> yy C Porch <br /> N <br /> STRUCTURE/ADDITION USE: K'%4--c_ 2_V\ odi+(on x13 SL/re ] Prch exe 0 <br /> (Home/Cabin; Commercial Business; Bedroom;Deck;etc.) q <br /> BUILDING CONTRACTOR: 6W r P-r ©T jc"o B .) <br /> e& \ 1 7 <br /> v <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR <br /> m 3, <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. <br /> N <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) Om <br /> in o. <br /> ?� Z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. n m <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE <br /> M � <br /> NORTH(N). C 0 <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDINGS)TO m v i <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. 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 GRADED OR FILLED. <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. o o <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAYBE DONE WHEN (_ <br /> NEEDED. 1 \ <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. c <br /> CONDITIONS OF PERMIT: ' <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT <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 <br /> PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING r �W��AL�,ETCr�A� ODS WITHIN IeRED W/gTER A <br /> SETBACK AREA. `JC/ I �/7Cti/ -cK_'L�l <br /> 5. MA mss ,l <br /> 6. l��dN/ (( '� �e Com ' !/T o m c H r^ o 3 <br /> 7. 1 5�6 Ya rhe ice(kT-OA�'a�J Sec. Il� ; : `" <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the best of my c p <br /> knowledge and belief it is true, correct and complete. I acknowledge that I am responsible for the detail and accuracy of w C <br /> all information contained in this application(including any accompanying schedule)and 1 further declare that 1 recognize m m <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- y p <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 m <br /> authorized person a e access to the above described premises at any reasonable time for the purpose of inspection. m <br /> m : <br /> m : <br /> SIGN HERE 3 <br /> Ll (signature of o orb nto (� <br /> ZONING ADMINISTRATOR 3fd 9 <br /> fA fA dI fA fA in <br /> N Nfn NNrJl to <br /> V10 V (T00 <br /> `XS PERMITS MAY BE REQUIRED <br />