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Burnett County 7410 Co. Rd. K, No.102,Siren,WI 54872 Office of Zoning Administrator - o° o <br /> APPLICATION FOR LAND USE PERMITS . <br /> 0 <br /> N �> <br /> po(.frT'Ih+h y -2�wwca ►,,aJ 9S.1- (f2 m o0 <br /> OWNER (?o i { /t'o e Q� TELEPHONE c S')_ 2 - 9 4 3 �L p 1 <br /> � �1J <br /> p O <br /> MAILING ADDRESS 6 d3 Aro 6,4 C-t;,r!o' �lw Nei ,S 7� ✓ /yj�✓ 5.��3P <br /> r CD <br /> 0 <br /> PROPERTY ADDRESS 0 Lf l4f 1/LL141 , D^ 6 c �y� �+• , S^cid 30 <br /> LEGAL DESCRIPTION(see tax receipt) O f-I L/ Z 1 3 04y e 00c <br /> r( i <br /> DWELLING/BUILDING ❑ GARAGE/ACCESSORY STRUCTURE ❑ ADDITION ❑ \; co <br /> TYPE OF PERMIT(S): IN <br /> a <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION ❑ S. <br /> STRUCTURE/ADDITIONUSE: (SEC K ReP1-t cc A-aQ ,.7` <br /> f--YA �k � (Home/Cabin;Commercial Business; Bedroom; Deck; etc.) U r�\ <br /> BUILDING CONTRACTOR: L✓e S �4 fiG Nd Y +1 2?_.P <br /> (� Fr <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 81/2 X 11 SHEET OF PAPER. ANY INCOMPLETE OR T .� <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. 0 r' <br /> 7J y <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) 0 o <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 C m <br /> NORTH(N). y C= 3 <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO m 3 <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. P <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 2 <br /> MUST BE SIGNED AND DATED BY THE OWNER. J t <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VE & 7 / � <br /> NEEDED.THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. JU o W <br /> CONDITIONS OF PERMIT: u r <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF QPER',�•.S je7,rL ISSUANCE. �. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELII�LOIW/NG UN7y <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 Vf <br /> SETBACK AREA. 3u <br /> OD 30 aF m <br /> 6. vaN � M <br /> v m Cy , .,o o <br /> 7. N O . <br /> O 21 m <br /> I declare that this application (including an accompanyingschedule has been examined b me and to the best of m r^ O <br /> PP ( 9 Y ) Y Y O2 i : C <br /> knowledge and belief it is true,correct and complete. I acknowledge that 1 am responsible for the detail and accuracy of m n <br /> all information contained in this application(including an accompanyingschedule and I further declare that I recognize io m i C <br /> PP ( 9 Y ) 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 E m E <br /> providing in this application. I agree to permit county officials charged with administering county ordinances or other m <br /> authorized person to have access to the above described premises at any reasonable time for the purpose of inspection. m m c <br /> SIGN HERE <br /> (signs re of ner or building co a r) (date) °' <br /> ZONING ADMINISTRATOR v <br /> nny rhe► o <br /> ,e 0 <br /> I , / '�WNSHIP PERMITS MAY BE REQUIRED <br /> 0 W <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br />