Laserfiche WebLink
Burnett County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator - o° o <br /> APPLICATION FOR LAND USE PERMITS 3. <br /> N � <br /> 41 <br /> C <br /> N <br /> OWNER SAME.$ C. `r L V E s-rtq D TELEPHONE 6.51- /-/6 3-y 7q 8 0 <br /> jPi <br /> HOMEADDRESS 90537 SlSeAyAx Ai,6-. w, 6488 alarnnl MAI 55ajy v <br /> 9'732-0 W. colj >Fis A.AKE 20 <br /> EMERGENCY/FIRE NUMBER ROAD NAME W E gsTe-Q Wr 5 y gq3 1 <br /> LEGAL DESCRIPTION(see tax receipt) IPC L GOV LOT 3 LOT S STONES RDD TO CdNNFLS CnCD <br /> DWELLING/BUILDING F-1GARAGE/ACCESSORY STRUCTUREI ADDITION F-1PRIVY —1L <br /> aAK-5E$I m 0 <br /> TYPE OF PERMIT(S): c <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION ❑ �' <br /> STRUCTURE/ADDITION USE: STOQAQE SHED /Z�'ljily' Wf7FF 57tly COUSr2tD PoRCf! 0 d <br /> (Home/Cabin; Commercial Business; Bedroom; Deck;etc.) Cl) <br /> BUILDING CONTRACTOR: S F—L F 5i <br /> t <br /> M _ <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN B'/z X 11 SHEET OF PAPER. ANY INCOMPLETE OR T 3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. 0r6 <br /> V, <br /> O <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) c '� <br /> ii <br /> nZ <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. m <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE c n <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO m 3 <br /> v <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. <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. ill <br /> c <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHENq(/�° <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. o <br /> CONDITIONS OF PERMIT: 6 O <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 <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 Q v d d M o mm <br /> 6. < a n h y 0 3 <br /> garage/storage only. Not to be used for human 9 : CD C N o <br /> g -� <br /> 7 habitation. o ': y �1<o :i i <br /> a, m <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the best of my i7� C <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of c L� <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- 00 l7 <br /> sue a permit. I further accept all liability which may be a result of the County of Burnett relying on this information 1 am m <br /> providing in this application. I agree to permit county officials charged with administering county ordinances or other m <br /> authorized person to have access to the abo escn remises at any-re"bnable time for the purpose of inspection. T ': <br /> CD <br /> (D : <br /> SIGN HERE <br /> r- 90- 1, 2-000 " ` <br /> (signature of owner or building contractor) -UUU (date) <br /> ZONING ADMINISTRATOR <br /> FnfnM N0Ln <br /> N [rNnLn <br /> `/��/ (T [T ONCII OO 9 <br /> TOWNSHIP PERMITS MAY BE REQUIRED 0 0 0 0 0 0 0 <br />