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Burnett County 7410 Co. Rd. K,No. 102, Siren,WI 54872 Office of Zoning Administrator - o 0 <br /> APPLICATION FOR LAND USE PERMITS <br /> V 6774P--/IV G7. <br /> OWNER AVID /S1� TELEPHONE (�1 —735'7372— v Q <br /> MAILINGADDRESS O <br /> 244,5 Goca2quE DQ. #� l�©ODBu2Y MIJ SSI <br /> PROPERTYADDRESS bZ4 1)OVILS LAV �RnW�I� Wr `IGI/ o <br /> / <br /> LEGAL DESCRIPTION(see tax receipt) c5m V. 3 P. L p �_ <br /> DWELLING/BUILDING Y GARAGE/ACCESSORY STRUCTURE ❑ ADDITION ❑ W <br /> TYPE OF PERMIT(S): a <br /> FILLINGIG'RADD NG Ll CAMPING�U/NIIT�� [I SUBDIVISION <br /> STRUCTUREIADDITION USE: F*ME DLO rY7b'r 1iJ1 /Or drt,l� ' I��t roO/✓) <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc. m <br /> BUILDING CONTRACTOR: gome:7s, Siacy Vv <br /> v <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. m <br /> O <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) O n <br /> T <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. n m A <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m <br /> NORTH(N). y 3 <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S)TO m .o <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 I <br /> BUILDINGS, ROADS, LAKE, LOT LINES. Z <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. d N <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER,CONTRACTOR, ETC.,THE PLANS ( S 1 <br /> MUST BE SIGNED AND DATED BY THE OWNER. CJ <'o O <br /> O � <br /> NOTE: BUILDINGISTRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAYBE DONE WHEN ° (� <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. o <br /> CONDITIONS OF PERMIT: !!I <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT W <br /> ISSUANCE. ' <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 /> 6. vI l l'7 1 /t A'f1 /r r/TT Jl�h tt�K�/� U _ Jac 3 6 N F a �= ;D <br /> s .�'l 'A'y -4r�d1LKn `��'�,,,�/ Iy��,�� +9' / o qi c � `.' o 3 <br /> ' —! 1 1 f /rFU L/7r Lrf1 /-f7GVL G Z Cn m ? 'R M <br /> m <br /> I declare that this a lication Includin a accom an in schedule ha y me and to the best of m <^ A <br /> pp (' g p y g ) �en examined b y � : � : c <br /> knowledge and belief it is true, correct and complete. I acknowledge that I am responsible for the detail and accuracy of r2;: <br /> : m all information contained in this application(including any accompanying schedule)and I further declare that I recognizeE m m <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is-sue a permit. I further accept all liability which may be a result of the County of Burnett relying on this information I amm o <br /> providing in this application.. I agree to permit county officials charged with administering county ordinances or other ,o m <br /> authoriz son to have access to the above described premises at any reasonabl r ur ose of inspection. `D n <br /> 1 <br /> m a ? <br /> SIGN HERE <br /> (FItature of ner or building contractor) date) j o <br /> ZONING ADMINISTRATOR <br /> 7 <br /> la-l7- zNos AAAA� N <br /> (� ��yy���� � ONUt W W NO <br /> / TOWNiHIP PERMITS MAY BE REQUIRED BURNETT COUNTY o u u o <br /> �osz/q- 6g` 5"PE MIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSU <br /> �m��-�- I�+e� ���� �� �Y l �"��- tib✓ �� �o�-os <br />