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Burnett County 7410 Co. Rd.K, No. 102, Siren,WI 54872 Office of Zoning Administrator v ci Z <br /> APPLICATION FOR LAND USE PERMITS <br /> y O V <br /> 41 <br /> / T d ryV" <br /> OWNER C' 6-k4 LO <br /> TELEPHONE '�� �� Z v <br /> / � e�. p `'/ <br /> MAILING ADDRESS SC✓�i`J S S Q , D Rev�jUF.Y GU/, £O <br /> Q/�, t.y V\o <br /> PROPERTY ADDRESS Reo <br /> LEGAL DESCRIPTION(see tax receipt) L3 gccaa- LOkt A <br /> &Ua,) 46 -17 � <br /> DWELLING/BUILDING ❑ GARAGE/ACCESSORY STRUCTURE ® ADDITION lJ" <br /> TYPE OFPERMIT(S): /� �p ) <br /> FILLING/GRADING 1:1CAMPING UNIT ElSUBDIVISION ❑ � �5 "'""`� n <br /> STRUCTURE/ADDmONUSE: yX l f,h2 f}QAO. /y x z DOCK , FrN Eiiisr/Nc, &� -r. 0 �^ ' <br /> v <br /> (Home/Cabin; Co mercial Business;Bedroom; Deck;etc.) U <br /> 2. <br /> BUILDING CONTRACTOR: e/7' 4,0/ ry C '!"0 ES I�2/(,f <br /> M <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR 3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. T <br /> 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. n m-11 A <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m m <br /> NORTH(N). 0 3 <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO m v <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. 9 <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES TO I D <br /> BUILDINGS,ROADS, LAKE,LOT LINES. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. <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. o 1 <br /> v <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATIQ I Q W EN ^� � 0 !� <br /> NEEDED. rl�—'�I7)'a" 1(L(j"//y/�5� OC3a �V <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. J L� rll�u o d <br /> CONDITIONS OF PERMIT: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF P MIT APR 9 �' ' <br /> ISSUANCE. "YERNETT CO11N1Y ) <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELIIJ <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY ZONING d o <br /> PERMITTED. <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER ( d <br /> SETBACK AREA. <br /> 5. <br /> w r >O Q O <br /> w <br /> 1R m <br /> 6. 3C00 <br /> o �' 3 <br /> y N J <br /> 7. O TQrn <br /> Tl <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the best of my C <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of m .s <br /> all information contained in this application(including an accompanyingschedule and I further declare that I recognize m o m <br /> PP (� 9 Y 1 9 <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 this application. I agree to permit county officials charged with administering county ordinances or other <br /> ry N <br /> authorized person to have ac ess to the above describe emises at any reasonable time for the purpose of inspection. - o <br /> m m <br /> iT <br /> SIGN HERE / n (� <br /> (signatu <br /> ZONING ADMINISTRATORGL'� j <br /> fA fA fA fA� N <br /> r NCTNN O <br /> OWNSHIP PERMITS MAY BE REQUIREDO7 <br />