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Burnett County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator - o 0 <br /> APPLICATI N FOR LAND USE PERMITS 3. <br /> r <br /> OWNER TELEPHONE 7/5 o3S 1 6)64/ o <br /> MAILING ADDRESS 19ft � f/ <br /> r � <br /> 0 <br /> PROPERTY ADDRESSCn <br /> I <br /> u' <br /> LEGAL DESCRIPTION(see tax receipt) / <br /> DWELLING/BUILDING ❑ GARAGEI CCESSORY STRUCTURE ❑ A DITION ❑ m <br /> TYPE OF PERMIT(S): J <br /> FILLING/G DING ❑ CAMPING UNIT ❑ S DIVISI �pt <br /> �J / CI <br /> STRUCTURE/ADDITION USE: ` / <br /> Home/Cabin; Comme I usiness; Broom; Deck; etc.) \ <br /> KA0 49 <br /> f 2 <br /> BUILDING CONTRACTOR: � <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 81/2 X 11 SHEET OF PAPER. ANY INCOMPLETE OR B. <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. T <br /> O C n , <br /> .� _'0 <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) O o <br /> n <br /> ?t p Z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. m <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE <br /> NORTH(N). (C/1 o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B) BUILDING(S)TO m 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. d <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 ?. <br /> MUST BE SIGNED AND DATED BY THE OWNER. ° t <br /> o n <br /> NOTE: BUILDINGISTRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN F0, <br /> NEEDED. <br /> Q <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. <br /> CONDITIONS OF PERMIT: V <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 WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. "V <br /> 5. <br /> CC N N a O a� m <br /> 6. m. x3 O <br /> nm �jL A <br /> p <o Cvc', <br /> Z C rn mo <br /> 7. o m -n � . m <br /> I declare that this application (including an accompanyingschedule has been examined b me and to the best of m Q -4 O <br /> ( 9 Y ) Y Y G) � � : C <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 an accompanyingschedule and I further declare that I recognize m m <br /> PP ( 9 Y ) g <br /> that this information I am providing will be relied upon by the County of Burnett Wi o i t� �h�t G) ? <br /> sue a perm' . I rther ac all liability whic, a result of the County of B}� t i �} ? ? ' d ' o <br /> providin m this pp gree tc permi c y fficials charged with adm i i r e e m <br /> authori d per t ave c e to the above a rib premises at any reasona I ime fore a purpose o inspect n ° a <br /> P -n <br /> (D <br /> a <br /> m <br /> SIGN R JUNn <br /> g lure of r r but din contractor) (date) <br /> ZONIN MINISTRATOR BURNETT COUNTY <br /> ZONING <br /> O N C T W W N O <br /> O (T O CT Ut (n O <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br />