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Burnett County 7410 Co. Rd. K, No. 102,Siren,WI 54872 Office of Zoning Administrator _ o 0 <br /> APPLICATIO14 FOR LAND USE PERMITS 3. <br /> r <br /> o <br /> N <br /> C <br /> N <br /> 1 a 1 <br /> OWNERAL <br /> TELEPHONE o <br /> w <br /> MAILING ADDRESS f <br /> r � <br /> 0 <br /> PROPERTYADDRESS Uj <br /> �a I IO <br /> LEGAL DESCRIPTION(see tax receipt)3,6c- 7'AD/UAe -t o &M Lori— LOT 1 <br /> N r <br /> DWELLING/BUILDING ❑ GARAGE/ACCESSORY STRUCTURE ❑ ADDITION ICS. 1 (/> <br /> TYPE OF PERMIT(S): Q Cr <br /> FILLING/GRADING ❑ COMPING UNIT ❑ SUBDIVISION ❑ <br /> STRUCTURE/ADDITION USE: A Czs_ ACM4 <br /> (Home/Cabin; Commercial usiness;Bedroom; Deck;etc.) <br /> BUILDING CONTRACTOR: m <br /> g8 W( S 30 <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR T 3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. p <br /> X N O <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AE IAL OR TOP VIEW) OT a <br /> Z! o z <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 INDICATE <br /> NORTH(N). y o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOL OWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO m3 <br /> CENTERLINE OF ROAD,(C)BUILDING(S) EASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF Z <br /> LAKE,STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. <br /> 4. SHOW THE LOCATION OF THE WELL(W) SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES TO I <br /> BUILDINGS, ROADS, LAKE, LOT LINES. n 1 <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. SCJ N <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC., THE PLANS 0 <br /> MUST BE SIGNED AND DATED BY THE OWNER. O <br /> o <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN = ° <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. z <br /> o l�l. <br /> CONDITIONS OF PERMIT: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT <br /> ISSUANCE. r '' <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 /> m0r-> 0>0-0�I -J <br /> 6. 23 a2 Fnm <br /> a cN " o 3 <br /> 7. o y �.Z J � A <br /> Fri <br /> 1 declare that this application (including any iccompanying schedule) has been examined by me and to the best of my (, G) - : C <br /> knowledge and belief it is true,correct and co riplete. I acknowledge that I am responsible for the detail and accuracy of o <br /> all information contained in this application (h icluding any acc Turtper declare that I recognize o '. hn <br /> that this information I am providingwill be rel ed upon b the f N Ntt_kr�i,m,�n�cl tei rminin whether to is O <br /> sue a permit. I further accept all liability whi h may be a res u rW 9 l this information I am m <br /> providing in this application. I agree to per it county officia charged with administering up ordinances or other <br /> authorized person to have access to the abovedescribed pre ses at easonable time for apurpose of inspection. o <br /> r 2002 L) mM ca <br /> m <br /> SIGN HERE W. <br /> a <br /> (signature of own building contract NETT COUNTY I (date) <br /> ZONING AD NISTRATOR <br /> rSEf( <br /> 0N <br /> 0 (.n0U�. A in N NON) <br /> [T00 <br /> TOWNS IP PERMITS MAY BE REQUIRED �(,0 (���_ <br />