Laserfiche WebLink
Butnett County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator m o 0 <br /> APPLICATION FOR LAND USE PERMITS 3. <br /> r <br /> N w <br /> m R\ . <br /> C v\() <br /> OWNER 0 0� TELEPHONE S/ /�/� G�/�b v v <br /> F CD <br /> 0� <br /> HOMEADDRESSO <br /> r m <br /> 0 <br /> EMERGENCY/FIRE NUMBER 9 g 5 ROAD NAMED'eh Id VZ4,0C, 31T <br /> \' <br /> LEGAL DESCRIPTION(see tax receipt) L4 � �� �/-/ ' _ <br /> DWELLING/BUILDING ElGARAGE CCESSORY ST UCTURE 0 ADDITION. PRIVY ❑ Cl) 0 <br /> TYPE OF PERMIT(S): c <br /> V n <br /> FILLING/GRADING El CAMPING UNIT D SUBDIVISION m <br /> STRUCTURE/ADDITION USE: <br /> (Home/Cabin; Commercial Business; Bedroom; m <br /> )room; Deck;etc.) <br /> BUILDING CONTRACTOR: S r/�/L L /\ I{ E y6 In lkj�: ry <br /> m <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR n R <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. -t LI 1-CI J O <br /> V h C5 x m <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) �r---, <br /> pm Q <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. l/ �b <br /> M 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE C n <br /> NORTH(N). Cn o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO m <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. to c <br /> v <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAYBE DONE WHEN W <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. c <br /> CONDITIONS OF PERMIT: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT <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 n . <br /> PERMITTED. �J <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> 5. _ � vc>rv�vv <br /> � � 3 n Ow x <br /> 6. m CM ! M <br /> rn <br /> m <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the best of my L7 Cr c <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of o <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize m m m <br /> that this information I am providing will be relied upon by the County of preasorgaell <br /> in determining whether to is- O <br /> sue a permit. I further accept all liability which may be a result of the Cf this information I amproviding in this application. I agree to permit county officials chargedfa7c�y finances or otherauthorized person to acces to the abo a described premises at nt of inspection. -n <br /> CD <br /> qj CD <br /> SIGN HERE <br /> APR 1 <br /> ign uro owner orbuildin ntractor <br /> \ ) ; <br /> t i <br /> ZONING ADMINISTRATOR R77 COUNly <br /> 4UNING cnv+wwr) cn0 <br /> N N/TNNCn (T <br /> (Ji (n O Vt Vt O O <br /> TOWNSHIP PERMITS MAY BE REQUIRED 0 0 0 0 0 0 0 <br /> 0000000 <br />