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Burnett County 7410 Co. Rd. K, No.102,Siren,W154872 Office of Zoning Administrator -0 0 0 <br /> APPLICATION FOR LAND USE PERMITS <br /> y O C>b <br /> N ` <br /> '� / <br /> CD J <br /> OWNER �� Ijj S �1�� TELEPHONE <br /> MAILING ADDRESS <br /> CD <br /> PROPERTY ADDRESS 1 J V C ` <br /> LEGAL DESCRIPTION(see tax receipt) (new ° <br /> DWELLING/BUILDING;g GARAGE/ACCESSORY STRUCTURE ❑ ADDITION ❑ rn <br /> TYPE OF PERMIT(S): c <br /> FILLING/GRADIN CAMPING UNIT ❑ SUBDIVISION ❑ °` <br /> N <br /> STRUCTURE/ADDITION USE: / <br /> (Home/Cabin; iness; Bedroom: Deck;etc.) <br /> BUILDING CONTRACTOR: L/` ✓S w <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8'h X 11 SHEET OF PAPER. ANY INCOMPLETE OR 3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED, p <br /> N <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) CL <br /> 0 a CD <br /> (� <br /> ?rZ <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. n w :b <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m <br /> NORTH(N). y o <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. v 1 (\4 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. C) <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. I N QN. <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER,BUILDER,CONTRACTOR, ETC.,THE PLANS o R.1 <br /> MUST BE SIGNED AND DATED BY THE OWNER. 0 Q <br /> o � ( <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE O BE DONE WHEN y o <br /> NEEDED. 0� � /' j f''A�....,. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. I o <br /> CONDITIONS OF PERMIT: I ApR Q <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS•cp"t%MIT <br /> ISSUANCE. vC t r 7v <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHO$�NE77��C'OU10-Y <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY ' G 'v" A <br /> PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER 1� <br /> SETBACK AREA. <br /> 5- <br /> > <br /> 'r�n� n / �f� 7� 8S /�� ,.�(ff• G�,Iz 1• O r D O D O <br /> L M <br /> 6. &Y )JcS LtX/ �..�.� Q-'l/lX-'K.� 'Cil V`-`�( L-C1/!I L `CD CD 3 a CD 00 9 a fD <br /> CD <br /> 7. <br /> . <br /> m <br /> I declare that this application (including an accompanyingschedule has been examined b me and to the best of m 0 <br /> PP ( 9 Y ) Y Y Lr7 C <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of W n v, <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize m ? o G <br /> CD <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 m <br /> providing in thip apploition. I agree to permit county officials charged with administering county ordinances or other o <br /> authorized peoon t0flave access to the above described premises at any reasonable time for the purpose of inspection. 1D <br /> -n o <br /> CD m <br /> SIGN HERT O <br /> (signature ner or building co actor) - (date) CLJr E <br /> ZONING ADMINISTRATOR E <br /> 63(A 63 69 N <br /> Ln <br /> N N O O <br /> lt O <br /> <�1_ TOWNSHIP PERMITS MAY BE REQUIRED <br /> ( 11 s( ,/b'jrHIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br />