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Burnett County 7410 Co.Rd. K, No. 102,Siren,WI 54872 Office of Zoning Administrator CD- o 0 <br /> APPLICATION FOR LAND USE PERMITS <br /> _ - 39to9 6 NLAA54C� I�oRx 9sa - ?s8-I � lAti1E M• r� �Tl ,rc9_,a- �58- 3a >7�8 n �+� <br /> OWNERA1-AIV ' �y °' 1 <br /> � m O <br /> MAILING ADDRESS / �YEw PRA&—.L <br /> M 1 Alp/ v� I <br /> m <br /> FIRE•Lt'' r o <br /> PROPERTY ADDRESS$�7���� Rt��Q RWrALLaU WZ 30 <br /> - <br /> LEGAL DESCRIPTION(see tax receipt) 031— 5 y'A 5 " ©a -30D p � <br /> DWELLING/BUILDING X GARAGE/ACCESSORY STRUCTURE ❑ ADDITION ❑ c 0 <br /> TYPE OF PERMIT(S): ❑ L1 <br /> FILLING/GRADING ❑` CCPMPING UNIT ❑ SUBDIVISION <. <br /> T. <br /> STRUCTURE/ADDITION USE: 4O hKE./C A V ilN <br /> (Home/Cabin;Commercial Business; Bedroom; Deck;etc.) m <br /> �c. 2. <br /> AN P��r�s�-ESN <br /> BUILDING CONTRACTOR: °' <br /> v <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR T � <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. N _ <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) C) n <br /> m <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 C CD <br /> n <br /> NORTH(N). 3 <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO m <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. \ P <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. N <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER,BUILDER,CONTRACTOR,ETC.,THE PLANS 2I <br /> MUST BE SIGNED AND DATED BY THE OWNER. ° <br /> v <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERiFI( I_ '//'I��'',�,-J, � °• p ' <br /> NEEDED. <br /> � j V ~ <br /> 1 <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. 0 <br /> CONDITIONS OF PERMIT: MNII`y 2 /7 2�1 004 1 C©> <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PBWFgNECOUUI <br /> ISSUANCE. NTy <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINEZON�N <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. <br /> 5. <br /> CD wm0CD CL rtlm <br /> O 3 C&COD <br /> g <br /> 6. O N C q y 0 7 <br /> Z y N 0 J'0 <br /> 7. <br /> ° -n`G <br /> _ <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my {j a <br /> knowledge and belief it is true,correct and complete. I acknowledge that 1 am responsible for the detail and accuracy of [� a 2 N <br /> I' <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize oo m m m0 <br /> that this information 1 am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- G) <br /> sue a permit. 1 further accept all liability which may be a result of the County of Burnett relying on this information 1 am m <br /> providing in this application. I agr a to permit county officials charged with administering county ordinances or other ,o <br /> authorized person to h ve access t e above described premises at any reasonable time for the purpose of inspection. T m o <br /> m m <br /> M <br /> v+ w <br /> SIGN HERE e1 s CL '. <br /> ( ignature of owner o#building con actor) ( ate) <br /> r i i i <br /> ZONING ADMINISTRATOR `• `• in in <br /> NN N N O O <br /> fYl4�-I � t/ <br /> TOWNSHIP PERMITS MAY BE REQUIRED Ut00� (TOO <br /> BL(JL s/a8 THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br />