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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 /> N <br /> N <br /> C <br /> d <br /> CANNER p LN <br /> �/11 O <br /> /maC J " / " / <br /> MAILINGADDRESS <br /> M <br /> PROPERTYADDRESS <br /> �- <br /> LEGAL DESCRIPTION(see tax receipt) U 0 <br /> DWELLINGIBUILDING ❑ GARAGEIACCESSORY STRUCTUR ADDITION ❑ <br /> TYPE OF PERMIT(S): Cr <br /> CL <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISjON ���- 5. <br /> STRUCTURE/ADDITION USE: <br /> S ItI/ Cd o <br /> (Home/Cabi ; Commercial Business;Bedroom;Deck;etc.) d�/ <br /> BUILDING CONTRACTOR: S4 <br /> m <br /> Z -4 <br /> v <br /> CD <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8'/2 X 11 SHEET OF PAPER. ANY INCOMPLETE OR n 3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. 0 m a <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) In In n <br /> T O Z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. m m� <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE y o <br /> NORTH(N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO m3 <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. <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 0, <br /> MUST BE SIGNED AND DATED BY THE OWNER. p <br /> o �j <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN ° <br /> GZi <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. 0 1 <br /> CONDITIONS OF PERMIT: G <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT <br /> ISSUANCE. I Com. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. p ' <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. m W Q) 0 (DO o f m <br /> n 3 n Om O n T M <br /> m <br /> 6. � NNN <br /> j„ O <br /> 7. ^ m <br /> - c : <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the best of my Q q C <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of / n <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize O m <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 <br /> providing in this application. I agree to permit county officials charged with administering county ordinances or other <br /> m (n : <br /> authorized person to have access to the above described premises at any reasonable time for the purpose of inspection. -n o: <br /> ei m <br /> SIGN HERE a <br /> (signature of ner or bull Ing contractor) , (date) <br /> ZONING ADMINISTRATOR d,d, (A N <br /> N 0 <br /> (TON (r00 <br /> TOWNSHI PERMITS MAY BE REQUIRED <br />