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6urnett County 7410 Co. Rd.K, No. 102, Siren,WI 54872 Office of Zoning Administrator v 0 Z <br /> APPLICATION FOR LAND USE PERMITS 3 <br /> r <br /> y O <br /> N <br /> J <br /> OWNER TELEPHONE <br /> MAILING ADDRESS101, <br /> s% P�14�fy�D 0 <br /> PROPERTYADDRESS <br /> LEGAL DESCRIPTION(see tax receipt) <br /> Y 4� <br /> DWELLING/BUILDING GARAGE/ACCESSORY STRUCTURE ❑ ADDITION wt1 <br /> TYPE OF PERMIT(S): � o <br /> c � <br /> FILLING/GRA G CAMPING UNIT ❑ SUBDIVISION or <br /> `/ a <br /> STRUCTURE/ADDITION USE: V X c3("_1`P W x Q n y `- <br /> c <br /> o' <br /> (Ho e/C ; Con)rn5Fcial Business; Bedroom; Deck;etc.) co <br /> BUILDING CONTRACTOR: � <br /> d <br /> � � 1 <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR m <br /> m : <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. OT 3� <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) 0 0" <br /> O ` <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. n of Z <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m 1 <br /> NORTH(N). \ <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDINGCS)TO m 3 <br /> CENTERLINE OF ROAD,(C)BUILDING(S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF p <br /> LAKE,STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. _ Z <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES TO ( o <br /> BUILDINGS,ROADS, LAKE, LOT LINES. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED (�l <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDERCONS y- 1, <br /> MUST BE SIGNED AND DATED BY THE OWNER. K, PLANS j 1 <br /> C ° <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFIC ION MA,Y BE DON 7 o <br /> NEEDED. �.B tlV , <. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. eUR CQQJ Z W <br /> CONDITIONS OF PERMIT: I�JFy� .J o <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS <br /> OF PERMIT <br /> ISSUANCE. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. GJ <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY 1 <br /> PERMITTED. <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. Q <br /> 5. <br /> 6. ;o 0r- Dt7Dp � <br /> 3 a n n a m m <br /> 7. mcg^ 0 = 3 <br /> Z <br /> 1 declare that this application (including any accompanying schedule) has been examined by me and to the best of my ° T� ID <br /> M <br /> �, <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of w m= d, S <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize D6 CL m � o m <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 : CD <br /> m ; v <br /> providing inAte <br /> on. I a e to permit county officials charged with administering county ordinances or other <br /> authorized pacce to the above described premises at any reasonable time for the purpose of inspection. O m '• toSIGN HERE ®gnature of ow r building contractor (date)ZONING AD - <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br />