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Burnett County 7410 Co.Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator -U 0 Z <br /> APPLICATION FOR LAND USE PERMITS 3. <br /> r <br /> y O <br /> N _ <br /> OWNER 'A r ry C! 00/) /\Gt /U�l /03 TELEPHONE KS/ 73/ s3 a 2 n <br /> o a <br /> r� ` ' ��qy / n /)� II,�� m <br /> MAILINGADDRESS Ix ` R1 �( 1'^ �pOc#' "�detl NIN OF <br /> r � <br /> ("1� <br /> 0 <br /> PROPERTYADDRESS 7S (^ '61i� �4nICI P top S/nPh <br /> r <br /> 1I l <br /> LEGAL DESCRIPTION(see tax receipt) <br /> / �1���_ �I� y <br /> TYPE OF PERMIT(S): DWELLING/BUILDING ❑ GARAGE/ACCESSORY STRUCTURE ® ADDITION ❑ c <br /> FILLING/GRADING CAMPING UNIT ❑ SUBDIVISION ❑ <br /> n <br /> STRUCTURE/ADDITION USE: S� � 'l <br /> a,� m <br /> Oh4Co <br /> (HomelCab�Commercial Business; Bedroom; Deck; etc.) w � "— <br /> BUILDING CONTRACTOR: ^CIL)P d D h S� '- <br /> m <br /> v <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. <br /> O — <br /> DIRECTIONS FOR PLOT PLAN DRAWING- A <br /> (AERIAL OR TOP VIEW) �// /�G O m <br /> C)v C' T a <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. z <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE Im m O A <br /> NORTH(N). C `�m^ <br /> 0 <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 <br /> LAKE, STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. 1 z <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES TO o <br /> BUILDINGS, ROADS, LAKE, LOT LINES. ( F <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 O <br /> o_ <br /> ) <br /> MUST BE SIGNED AND DATED BY THE OWNER. <br /> F <br /> NOTE: BUILDINGISTRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAYBE DONE WHEN o <br /> NEEDED. <br /> y} <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. z ) <br /> CONDITIONS F PERMIT: P �J <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT 1 <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 /> S TBACK ARE <br /> 5. ",Pa Qr- '( This structure to be used as private residential <br /> 11�� garage/storage only. Not to be used for human U W 0 r > o a o -0 <br /> 6. f m <br /> habitation. x a3 a <br /> T. c: 5'k oI <br /> I declare that this application (including any accol,.r_..,... c ti : in p <br /> v 09 <br /> c V <br /> knowledge and belief it is true, correct and complete. I acknowledge that I am responsible for the detail and accuracy of <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize m 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 o ' <br /> providing in this application. I agree to permit county officials charged with administering county ordinances or other I iu m <br /> authorized person to have access to the above described premises at any reasonable lime for the purpose of inspection. I E <br /> i aE <br /> SIGN HERE ; a <br /> �Ob 6 <br /> (sig'nature}�ofyo�wnerq�_i,builtli^ng,contractor) (date) <br /> ZONING ADMINISTRATOR �J6r I ) r hI )L�� <br /> Sud-�✓anar>c� `"`"`"`"� N <br /> ON (n W W NO <br /> � TOWNSHIIPPPRE�RMITS MAYBE REQUIRED <br /> THIS <br /> O/N N U O <br /> THISPERMIT t c! SHALL <br /> EXPIRE <br /> TL f N RFCE <br /> IC FROM <br /> LLF! e U�i T! tU �LdPj b O -Ab <br />