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Burnett County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator�vv c� z <br /> APPLICATIOOR LAND USE PERMITS 3. <br /> N <br /> C <br /> OWNERTELEPHONE <br /> o <br /> CD <br /> _ <br /> o <br /> d <br /> HOME ADDRESS <br /> CD <br /> \ r <br /> EMERGENCY/FIRE NUMBER' L of O 19 ROAD <br /> NAME ` ekq <br /> ��K �i�r� / rTri�Z ✓ w�� <br /> LEGAL DESCRIPTION (see tax receipt) 1 ur <br /> m <br /> TYPE OF PERMIT(S): DWELLING/BUILDING-GARAGE/ACCESSORY STRUCTURE ADDITION <br /> �y <br /> c <br /> CL <br /> N <br /> SANITARY PRIVY FILLING/GRADING" CAMPING UNIT SUBDIVISION 0 <br /> STRUCTURE/ADDITION USE: C14y(/ <br /> (Home/Cabin; Commercial Business; Bedr om; Deck;etc.) _ <br /> A PLOT PLAN MUST BE PROVIDED ON A SEPARATE SHEET OF PAPER. ANY INCOMPLETE OR m 3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. <br /> 0 in <br /> DIRECTIONS FOR PLOT PLAN DRAWING' (AERIAL OR TOP VIEW) p n <br /> In z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. a 0) X <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m ;? <br /> NORTH(N). <br /> n <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 LAKE, CXZ <br /> 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 BUILD- <br /> INGS, ROADS, LAKE, LOT LINES. L) Qj <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. N pp <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC.,THE PLANS I <br /> MUST BE SIGNED AND DATED BY THE OWNER. c <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED FOR ONSITE VERIFICATION BEFORE A PERMIT CAN BEq o <br /> ISSUED. Cr <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. z <br /> CONDITIONS OF PERMIT- <br /> 1 <br /> ERMIT: o <br /> k <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMITbISSUANCE. <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 75 FEET OF THE OHWM OF LAKES, <br /> PONDS, RIVER UNLESS SPECIFICALLY PERMITTED. lt _l <br /> 5. <br /> zv0r 0 0 .0 <br /> g d ma m <br /> 6. aCL CD <br /> mCyo ' 3_ <br /> o : <br /> cn ."O <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the best of my c p <br /> knowledge and belief it is true, correct and complete. I acknowledge that I am responsible for the detail and accuracy of m C <br /> all information contained in this application(including any accompanying schgdt�ndrnF-11t <br /> elaTtp that I recognize 'm_ m <br /> that this information I am providing will be relied upon by the Coun I rr t ng whether to is- Osue a permit. I further accept all liability which may be a resultoY �ty`gfend information I am d <br /> providing in this application. I agree to permit county officials c tri ns ering county dinances or other 1 m <br /> authorized person to have access to the above described premises at ny reasonable time for the pu a of inspection. n <br /> AUG <br /> SIGN HERE <br /> (signafAre of owner or building contractor) BURNS U (date) <br /> ZONING ADMINISTRATOR f4 /C' ZONING ` <br /> �N(MK)K)007 <br /> N Nnoppoo <br /> 0 07 <br /> fr (l� O ut Ut O O <br /> TOWNSHIP PERMITS MAY BE REQUIRED 0 0 0 0 0 0 0 <br />