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Burnett bounty 7410 Co. ltd, K, No. 102,Siren,WI 54872 Office of Zoning Administrator " o° o <br /> APPLICATION FOR LAND USE PERMITS 3 <br /> OWNERW TELEPHONE C7�5) o5�_30-79o VJ r <br /> v \{t <br /> -De, <br /> � �/ ' e1 O <br /> MAILINGADDRESS -775-3 RoC,trj e DLake (Xn6uW <br /> Y 4 T <br /> �0 m <br /> PROPERTY ADDRESS ��AM <br /> LEGAL DESCRIPTION(see tax receipt) PC L--c'miT IT 'c 4 i &I R i tow M <br /> DWELLING/BUILDING N GARAGE/ACCESSORY STRUCTURE ❑ ADDITION 0 <br /> TYPE OF PERMIT(S): <br /> FILLING/GRADING ❑ CAMPIN UNIT ❑_,c.,SUBDIVISION ❑(,��/ < <br /> STRUCTURE/ADDITION USE: ��f)AA e- ,i,r r� ! / L�) C9 I /—gq <br /> (1(Home/Cabin; Commercial Business; Bedroom;Deck;etc..)� cf <br /> BUILDING CONTRACTOR: C e t C� Wr Cnai n—�, d <br /> m <br /> m <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8Y:X 11 SHEET OF PAPER. ANY INCOMPLETE 1�-U, -n 3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. S�f'b�(c ue'/� , I� c <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) I i��� ��`' 0n <br /> / n Z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. F) d :b <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m <br /> C <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. ` o <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES TO /1 <br /> BUILDINGS, ROADS, LAKE, LOT LINES. LW/ <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, BUILDECONTRACTOR, ETC., THE PLANS 0 <br /> MUST BE SIGNED AND DATED BY THE OWNER. ` rj i ��1?� L �1 <br /> E'D <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE ON NtA�PB D I EN S <br /> NEEDED. I o UJ <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. SEP 2002 0 <br /> CONDITIONS OF PERMIT: <br /> BURNETT COUNTY a <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERIVIjT.NING <br /> ISSUANCE. [V U, ` <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY V� <br /> PERMITTED. lr�jJ <br /> 4. NO STRUCTURES, INCLUDING <br /> RETAINING WALLS, A LOWV `ITHINHE REQ IRED WATER <br /> ul <br /> SETBACKAREA. ar <br /> -It 31 <br /> 5. <br /> ��TCCn m m m c>i 0 Da 0 -0 <br /> _ 8 3 a � yam � <br /> recorM a R om <br /> y „ o . =1 <br /> 7. c sT i c/� n h o U.s C� C2>-/ ` X o7 y Bu eY /£�, ro-y-(13 , _ m <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the best of my G) c C <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of m n v, <br /> CL 0 : <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize m O <br /> CD 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 a <br /> authorized person to have access to the above described premises at any reasonable time for the purpose of inspection. o <br /> SIGN HERE <br /> (signature of owner or building con or) (date) <br /> d <br /> ZONING ADMINISTRATOR ���� EA 69 <br /> fA fA EA 69 N <br /> N� 0 N� NC, 00 <br /> TO SHIP PERMITS MAY BE REQUIRED <br />