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Burnett County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator m o I o <br /> APPLICATION FOR LAND USE PERMITS 3. <br /> DINNER D ClOt d-l%" R6lF t,KLA1 TELEPHONE <br /> MAILING ADDRESS TIJ fX1�L � �Q,,I�N5hwb5 ib1r._ 53b33 J <br /> PROPERTYADDRESS z-y573J W.I-� ar L.Mt-tEE> o <br /> LEGAL DESCRIPTION(sae tax receipt) m � <br /> OWELLINGIBWLDING ❑ GARAGEIACCESSOFY <br /> STRUCTURIEK ADDITION ❑ <br /> c <br /> TYPE OF PERMIT(S); cr <br /> o <br /> FILLINGIGRADING ❑ CAMPING UNIT ElSUBDIVISION El a. <br /> STRUCTUREIADDITIONUSE'. 5-Py <br /> /A• (HomnlCabin;Commercial Business: Scd,..m; Deck;etc.) c S <br /> BUILDING CONTRACTOR: N.� IL✓`S�+/'J L lT'S �rY'� - - <br /> Iy <br /> 2 <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR T 'y ILI,_-IL=J1 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. 0 u <br /> DIRE9T_IONS FOR PLOT PLAN DRAWING. (AERIAL OR TOP VIEW) 0 <br /> T O M <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. m A <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATENORTH IN). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES.(B)BUILDING(S)TO m 1` o <br /> CENTERLINE OF ROAD,(C)BUILDING (O <br /> S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK HWM)OF <br /> LAKE,STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND GRAINFIELD(DE,AND ALL DISTANCES TO F <br /> BUILDINGS,ROADS,LAKE,LOT LINES. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. IN <br /> 8. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER,BUILDER,CONTRACTOR, ETC.,THE PLANS �. y <br /> MUST BE SIGNED AND DATED BY THE OWNER. °s <br /> g R I <br /> NOTE: BUILDINGISTRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAYBE DONE WHEN _ ° r „ <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. o X1 <br /> CONDITIONS OF PERMIT: ) <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN BO DAYS OF PERMIT 1 <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. O <br /> 4, NO STRUCTURES, INCLUDING RETAINING U/AI I c FTr Al I nWFn WITHIN THP RPOI IIRFn WATFR <br /> SETBACK AREA. This structure to be used as private residential <br /> 5. garage/storage only. Not to be used for human n m 0 1 >o a 0 <br /> 6. habitation. 9, x 3 R ie ='£°- a <br /> A H H <br /> Z <br /> 7. <br /> Fin <br /> u D <br /> I declare that this application (including any accompanying seneoule) has been examined by me ano to me oast of my vj 2 <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of a A I y <br /> all Information contained in this application(including any accompanying schedule)and I further declare that I recognize e In <br /> that this Information I am providing will be radical 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 alt <br /> no <br /> providing In this application. I agree to permit county officials charged with administering county ordinances or other - <br /> authorized parson to have access to the above tleacribetl premises at any r¢asonable time for the purpose of inspection. T m m <br /> SIGN HERE « <br /> (signature of own�e�r;or syilaiAg contractor) (dated <br /> ZONING ADMINISTRATOR /ff� �tC'r%ILgana v, <br /> � oNNNo <br /> TOWNSHIP PERMITS MAYBE REQUIRED <br /> lIS PERMIT SHALL EXPIR ONE YEAR FRApM DATE F ISSU NCE <br /> rn r ie hei plc/cza un �^f �.e �, o�slrL ef7on 7 apt--bG <br />