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Burnett County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator - oCD Z <br /> APPLICATION FOR LAND USE PERMITS 3. <br /> r <br /> y O <br /> y <br /> C <br /> OWNER Volcj�,� y I L�q�,& �j1� r NV TELEPHONE I7�S a,�9 3Y/,� p >\' <br /> l / p <br /> o O <br /> MAILINGADDRESS a g S Kl t,Kq QL R04D <br /> PROPERTY ADDRESS 88;j' / k I LKA-41, <br /> aNI& oPTNE.S X/ <br /> LEGAL DESCRIPTION(see tax receipt) A64D&, J 06,4,&* 60 ��C7/pt/ 40/1/ R l U W cn <br /> DWELLING/BUILDING ❑ GARAGE/ACCESSORY STRUCTURE ADDITION ❑ lnfi o V <br /> TYPE OF PERMIT(S): Cr <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION ❑ <br /> STRUCTURE/ADDITION USE: (:O&1/Y)6 '1 /4(— BUSY✓£S5 — Tnfl'IVI L- 16AI o <br /> (Home/Cabin; ommerclal Buslness�Bedroom; Deck; etc.) <br /> BUILDING CONTRACTOR: Q ✓� <br /> m Q <br /> m <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 81/.X 11 SHEET OF PAPER. ANY INCOMPLETE OR <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. 0 <br /> O <br /> -.0 N <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) O n <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. 0 m <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m <br /> NORTH(N). y 3 <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S)TO m o <br /> CENTERLINE OF ROAD,(C)BUILDING(S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF <br /> LAKE,STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. o <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 j <br /> MUST BE SIGNED AND DATED BY THE OWNER. eo ) <br /> 0 <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN q o <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. o n , <br /> CONDITIONS OF PERMIT: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT '� O <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. <br /> 5. <br /> A w O D O D 0 -0 <br /> 6. <br /> a o <br /> Z cymo � co -1 <br /> 7. <br /> (n : m <br /> I declare that this application (including an accompanyingschedule has been examined b me and to the best of m A <br /> PP ( 9 Y ) Y Y G) v : C <br /> knowledge and belief it is true, correct and complete. I acknowledge that 1 am responsible for the detail and accuracy of ( n c (" : A <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize ID 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 1 am d o <br /> providing in this application. I agree to permit county officials charged with administering county ordinances or other m <br /> authorized person to jpve access to the ve d cribed premises at any reasonable time for the purpose of inspection. (D n <br /> -n <br /> N > : <br /> (D <br /> 69 <br /> C' : <br /> SIGN HERE : <br /> or gn ur ow building contractor) LLD LSa li i 0 <br /> ZONING ADMINISTRATOR <br /> 11N I I li= <br /> ONCn W W NO <br /> TOWNSHIP PERMITS MAY BE EILD <br /> TY <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DAT1�4 V.uN <br /> F4mi�- +1eA-def (�ilQA 4z) 17(&IN 'a°�6- VtL (Gtg� <br />