Laserfiche WebLink
n s L a jLe <br /> Burnett County 7410 Co. Rd. K,No. 102, Siren,WI 54872 Office of Zoning Administrator v z <br /> APPLICATION FOR LAND USE PERMITS �. ° <br /> r <br /> TT /� I —763--75S--j7S�/ eh� <br /> OWNER '71rQC1 Q/1d JQV C['n I`t/ TELEPHONE-7&3 S15-4,370eLvy v <br /> m <br /> MAILING ADDRESS j ya(.+_)'TV fywa7C1 st- Al X 17 hf)d over M N 55 3 0 v <br /> 0 0 <br /> PROPERTYADDRESS <br /> LEGAL DESCRIPTION(see tax receipt)Z-37-19-25-0 OZL O O 1-47r 2 LSM ✓ 9 P-7(L At L70V <br /> 1 0'r at nF PS/J-1� 1? 1'-33 Y) m <br /> DWELLING/BUILDINGGARAGE/ACCESSORY STRUCTURE ElADDITION ElCo 0 <br /> TYPE OF PERMIT(S): V c <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION ❑ RE <br /> S <br /> STRUCTURE/ADDITION USE: 0 <br /> (HomelCabin;Commercial Business; Bedroom; Deck; etc.) rn <br /> BUILDING CONTRACTOR:L NPCP <br /> CD <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 81/:X 11 SHEET OF PAPER. ANY INCOMPLETE OR 3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. O <br /> UT <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) O m <br /> n n \ <br /> T Z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. n m J <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m <br /> NORTH(N). C n <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO m OO 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 , o <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES TO Q, <br /> BUILDINGS,ROADS,LAKE,LOT LINES. Q <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. 1 N C1J <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER,BUILDER,CONTRACTOR,ETC.,THE PLANS t' 0 r <br /> MUST BE SIGNED AND DATED BY THE OWNER. 2. c T <br /> O � � <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN g (� <br /> NEEDED. <br /> 2 <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. c ,� t <br /> CONDITIONS OF PERMIT: A <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT Q� <br /> ISSUANCE. Q <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY Ig �4 <br /> PERMITTED. �J-' ` <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER `r1 <br /> SETBACK AREA. <br /> 5. " GPA0PA,6- hl l* FU M'15- SkALL <br /> ,fie %JE cJrrHoOt A"slf6q irffAc1/nG 7NW <br /> 6. 517E of TH1E . mAJD 5,/L +1d.So4077tk) CSL(.. -' Ab F41- ON) 7NE A4 UAD VM6, ,�iuq g ?3 M m R a* m <br /> MlanA�At- FL<- aUG4- THE of SLOA roE. o <br /> 7. IrL eT Q C� E !AJ TMF & A.bT [qct OJ4R IT) Z e w m o <br /> t3�4CW -we r�M 0 E 766 o Clara+ T",W 6 0av // o m : r� : m <br /> I declare that this application(including any accompanying schedule) has been exa ' = (0: «+ p <br /> nc E vi C <br /> knowledge and belief it is true,correct and complete. I acknowledge that 1 am resp c f <br /> all information contained in this application(including any accompanying schedule) her dec are at recogn E m <br /> that this information I am providing will be relied upon by the County of Burnett W1 sin in determining whether to - CD <br /> in <br /> sue a permit. I further accept all liability which may be a result of the County of Bu relyln�t�1/t %f on 1 m <br /> providing in this application. I agree to permit county officials charged with admi ng eoluu�t�►yy iRa a or of or "' m <br /> 1c : in : <br /> authorized person to have access to the above described premises at any reasonable r <br /> 'n : G <br /> CD <br /> D: <br /> SIGN HERED w a <br /> V it (s tun of weer or bullifing eontnct ) (dater)) <br /> ZONING ADMINISTRATOR MAY ZOOS <br /> N: fA 69 <br /> TOWNSHIP PERMITS MAYBE REQUIRED BURNETT COUNTY N o <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUAMNING <br />