Laserfiche WebLink
m <br /> Burnett County 7410 County Road K, No. 102, Siren, WL 54872 Office of Zoning Administrator a � <br /> APPLICATION FOR LAND USE PERMITS I� n <br /> OWNER DE(-1UfT TELEVHONL �Pd`k': <br /> MAILING A1111111-SS j'�Z_ 'LL h NV/N <br /> PKUPtK1Y ADDRESS <br /> _... K..`I/1} /` �y� -���[,yJj_ J.�L^1cic/cT.c-E. �.'\�al/lyi[¢��2�^!} <br /> LEGAL DESCRIPT)ON �-r A W,w""_..... � <br /> — .. _ - <br /> TYPEOFPERMTT(S): SINGLE FAM1lY UWELUNG X ADDITION❑ DEIX,Q GARAGE/ACCESSORV STRUCTURE❑ <br /> BUNKHOUSE ❑ 59.692(IV)GAZEBO I I STAIRS 1 FILLING/GRADING❑ CAMPING UNIT CI <br /> COMMERCIAL BUILDINGIT COMMERCIAL ADDITION U COMMFRCIAI ACCESSORY STRUCTURE IT <br /> SINUCTURE/ADDITION USE: <br /> (Home/ <br /> Cabi <br /> �n; <br /> (Comm/elriia�l Business, Bed1r_urrn;;,DDmk; etc.) <br /> BUILDING CONTRACTOR: tfftw <br /> 1 10n � I r <br /> 3 J <br /> � A PLOT PLAN MUST BE PRDVIDED ON AN 8'h X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOTp PLANS � d <br /> WILL BE RETURNED. CLQ <br /> 'vM <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) V, m G <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW ly-1 a <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH(N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING($)TO ALL LOT LINES,(B)BUILDING(S) $ <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENTS)TO THE ORDINARY HIGH WATER MARK C5 m <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(0)LOT DIMENSIONS. p <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES — 100 <br /> TO BUILDINGS,ROADS,LAKE, LOT LINES. 1 'p <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. ` 1 <br /> 6. 1F SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER,BUILDER,CONTRACTOR,ETC.,THE i N <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. \ P <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN ( v <br /> O <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> O � v <br /> 1. DRIVEWAY MUST MELT DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. 1 n 7 <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA, <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION, <br /> 6. <br /> 7. zA Y >v �g <br /> I declare man this application(Inductingmy accwnpanbrg yschedLle)has heen ea mined by me and to the best of my g o 5 9 <br /> bwwledge and belier it is true,correct and complete. I atbarledge that I am responsible for the detail and accuracy of all <br /> 'PILAU tan contained in this application(Including any accompanying srnedukl)and l further declare that I recognha that this y>m N y <br /> Inform:Dn I am providing will be Failed upon by the County of Burnett WKconsln In determining whether In Issue a permit f y + b <br /> further accept all liability that may be a result of the County of Burnett raying an this Information i am providing in this <br /> application. I agree to permit county officials changed with administrating;county ordinances;or other authorized person to have a J r+ r <br /> access W the above-described premises at any reasonable B e for the purpose of inspection. S S w a u r <br /> m > <br /> OWNER'S SIGNATtlItWT � e _I.,AJv= R.2.OID <br /> u <br /> /yam In Fz a m 3 R n n O <br /> ZONING ADMINISTRATOR �I 1 l `La /."�L,.L(� -_„___-___-_ J1 $ <br /> v O <br /> TOWNSHIP PERMITS MAY BE REQUIRED ER = <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br /> CU5fpm <br /> Pemoi t -4 1�t-f,V picked <br /> ti�Ilcruso�oa <br />