Laserfiche WebLink
Burnett County 7410 Co. Rd.K, No. 102, Siren,WI 54872 Office of Zoning Administrator v 0Z <br /> APPLICATION FOR LAND USE PERMITS 3 <br /> r <br /> UTt o <br /> OWNER .�EROLD N/CHOLS TELEPHONE <br /> m <br /> MAILING ADDRESS 3,Io 4rW,,fij 5 m � <br /> PROPERTY ADDRESS a7_4-aS a RICE sawn RZIAID IA ERZ8R-, %V1 55/893 ~ <br /> LEGAL DESCRIPTION(see tax receipt) Li)r I 1_SAA V ISP ooa'A l Cov toT a stn <br /> CD <br /> DWELLING/BUILDING 1:1GARAGE/ACCESSORY STRUCTURE X ADDITION ❑ to 0 <br /> TYPE OF PERMIT(S): <br /> FILLING/GRADING ❑ CAMPING UNIT 1:1a <br /> SUBDIVISION ❑ <br /> p <br /> STRUCTURE/ADDITION USE: GARAGC (=p8x ✓aO `� 1i1 <br /> o' , <br /> _ <br /> _ (Home/Cabin;Commercial Business;Bedroom; Deck;etc.) y <br /> BUILDING CONTRACTOR: 3C Y <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. -n t _ <br /> O vl <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) O m <br /> n n <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. 5 p <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m <br /> NORTH(N). y o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO m B <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 <br /> BUILDINGS,ROADS, LAKE, LOT LINES. Q <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC.,THE PLANS <br /> MUST BE SIGNED AND DATED BY THE OWNER. <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERT_ �M WHEN $ <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. Z1/ <br /> CONDITIONS OF PERMIT: QQ MAY ' 6 0 � Q <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF'P � <br /> ISSUANCE. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELIZONII/VIo WY <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY y�i pg <br /> PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> 5. <br /> This structure to be used as private residential <br /> M 0 r D o D o v <br /> 6. garage/storage only. Not to be used for human M d ; S o a f m <br /> 3 <br /> CL(OD OX � <br /> habitation. m c N y i 3 <br /> 7. Z in A o = co <br /> T M <br /> 1 declare that this application (including any accompanying schedule) has been examined by me and to the best of my —�' ' : A <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 1✓ m o m <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- V G <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 <br /> authorized person to have access to the above described premises at any reasonable time for the purpose of inspection. (Dcn <br /> m o : <br /> �j m <br /> SIGN HERE C 1P/ / r,:KG <br /> n : <br /> (signature owner or building contractor) date) <br /> ZONING ADMINISTRATOR //)1 J'/ <br /> J di fA A fA 0 N <br /> N <br /> �I N O O <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> aN qB <br />