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Burnett County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administratoro 0 <br /> APPLICATION FOR LAND USE PERMITS 0) <br /> (Tl <br /> OWNER TELEPH <br /> ON <br /> E, <br /> �� r O <br /> MAILING ADDRESS <br /> 3moo K11 K f <br /> m <br /> o <br /> PROPERTY ADDRESS 'Moo <br /> LoT TWO Ad ittC,t Y✓ a <br /> LEGAL DESCRIPTION(see tax receipt) �TJ 6)c `{ laq Pt ! y"¢ IoW rl d SCO r 3 f!✓N P 1 <br /> CtJ (� � d <br /> DWELLING/BUILDING ❑ GARAGE/ACCESSORY STRUCTURE ❑ ADDITION 3 T <br /> TYPE OF PERMIT(S): n <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION ❑ S. <br /> ,1 \ <br /> STRUCTURE/ADDITION USE: O'W"Z / C.ft��-I f� CPUC et✓ <br /> 10 <br /> J Inn /Ca nCommerclal Business, Bedroom, Deck, etc. 1 <br /> BUILDING CONTRACTOR: 1 1✓42 y P ✓l , <br /> 344ri K I I Ka", cf bar b Ai8 <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMP ETE OR TO 3 Q <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. nsi n O Ci <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) W �r o <br /> T O Z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. - n m M <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(N8)AND INDICATE m � o <br /> TO <br /> NORTH(N). m S a <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S) <br /> CENTERLINE OF ROAD,(C)BUILDING(S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF 0 �o <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 W <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 2. <br /> MUST BE SIGNED AND DATED BY THE OWNER. o 1 <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAYBE DONE WHEN <br /> o <br /> NEEDED. <br /> Z <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. P <br /> CONDITIONS OF PERMIT: `� f <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT ^ \ <br /> ISSUANCE.2. REMOVAL OR CUTTING OF v <br /> TREES VEGETATION IS RESTRICTED ALONG <br /> SHORELINE. <br /> 3. NO GRADING OR SHORELANDALTERAT ONS ARE ALLOWED UNLESS SPECIFICALLY <br /> CALb <br /> PERMITTED. $ <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> 5. 030 > 0 > £ m <br /> mom o <br /> y �' m F3 nm FRmp <br /> 6. �IQGSe S-PI - PPrwe iV ro BOY!/'j .fid filSQA a 0m N N c+ 3 <br /> z C y <br /> z o m <br /> - N : ix: O <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the best of my 2 I N . C <br /> knowledge and belief it is true, correct and complete. I acknowledge that I am responsible for the detail and accuracy of n A <br /> m O <br /> all information contained in this application (including any accompanying schedule)and I further declare that I recognize m <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- ` (n : <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 Q i <br /> providing in this application. I agree to permit county officials charged with administering county ordinances or other ,o m <br /> `D <br /> authorized person to h I as to the ab ve described premises at any reasonable time for the purpose of inspection. i ` n <br /> /� m n; <br /> SIGN HERE `f' ` '• <br /> (signature of owner or building contractor) (date) <br /> ZONING ADMINISTRATOR <br /> �fAfA fA EAS N <br /> GOv, Of)� N � O <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE EAR F OM A E OF ISSNC�E!—OED � C4-i7 ba wici p 1,n T <br /> �eimC-�+- 16-W m&Ile J lid Yrr � <br />