Laserfiche WebLink
ino / <br /> Burnett County 7410 Co. . K, No. 102, Sinn, WI 51872 Office of Zoning Administrator 9 f o <br /> APPLI ATION FOR — LAND USE — PERMITS m o <br /> TO THE ZONING ADMINISTRAT R:The undersigned hereby makes application for a Permit for the work described and <br /> located as shown heroin. The un arraigned agrees that all work shall be done in accordance with the requirements of the $ <br /> Burnett County Land Use Ordinai Ce,Sanitation Code, and with all other applicable County Ordinances and the laws and _ <br /> 0 <br /> regulations of the State of Wiscorsin. <br /> is m <br /> c g <br /> OWNERTELEPHONE `17 — _7k&7- Z 13 Z o f <br /> fE FAAjsL <br /> m <br /> ADDRESS 74 —1(SI Abe- NE S PPq 6 C.A KE PARK- AIiNN 5032 = ' <br /> EMERGENCY/FIRE NUMBER 6$05 ROAD NAME E-, RooNey LAKE- <br /> LEGAL <br /> AKELEGAL DESCRIPTION (see tax race pt) SOI <br /> 3 C—$ M V 13 P 19 S- _ <br /> Gv /I D N A 11 W U <br /> CONTRACTOR Q <br /> STAIRS To t..AKE <br /> TYPE OF PERMIT(S): DWELLING/ UILDING GARAGEIACCESSORY STRUCTURE__ ADDITION o <br /> SANITARY PRIVY FILLING/GRADING GAMPINO ulvrr_ sUBUIVISION <br /> w � <br /> STRUCTURE/ADDITION USE: 0 C o a <br /> v <br /> Home/Cabin;Commercial Business;Bedroom;Deck;etc.) a e <br /> 0 <br /> DIRECTIONS FOR PLOT PLAIS DRAWING: (Aerial or top view) <br /> 1. Show the location and size of all existing buildings (EB) and all new buildings (NB) and Indicate North (N). <br /> 2. Show the location of the wi ill (W),septic tank(ST),and drainfield (DF). ° <br /> 3. Show dimensions In feet oft is following:(a)building to all lot lines,(b)building to center line of road,(c)building <br /> measurement to the ordinary high watermark of lake,stream,or river. <br /> 4. H separate plans are submitted by an architect,engineer,builder,contractor,etc.,the plans must be signed and <br /> dated by the owner. Q <br /> NOTE: BUILDING/STRUCTURE LOCkTIONS MUST BE STAKED FOR ONSITE VERIFICATION BEFORE A PERMIT CAN BE ISSUED. a rn <br /> 1A Z Q <br /> PLOT PLAN e Z <br /> PC-AM o.2 STAIRS To t�lKE <br /> SEE A — <br /> I <br /> - <br /> V � <br /> 0 <br /> I� <br /> o <br /> n' <br /> o � <br /> N <br /> r lO <br /> C <br /> V 3:: ,z C8 .1 Ic <br /> CONDITIONS OF PERMIT: <br /> 1. DRIVEWAY MUST MEET RIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT ISSUANCE. p E 'z 33 <br /> 2. REMOVAL OR CUTTING F TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. m <br /> 3. NO GRADING OR SHOR LAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. ? C <br /> I declare that this application Including any accompanying Schedule)has been examined by me and to the beat of my knowl- m <br /> edge and belief it is true,comi ct and Complete.1 acknowledge that I am responsible for the detail and accuracy of all informs- <br /> tion contained in this application(including any accompanying schedule)and I further declare that I recognize that this infor- 75 O <br /> mation I am providing will bit relied upon by the County Of Burnett Wisconsin in determining whether to issue a permit. I $ $ <br /> further accept all liability whk It may be a result of the County of Burnett relying on this information 1 am providing In this ap- <br /> plication.1 agree to permit co my Officials charged with administering county ordinances or other authorized person to have <br /> access to the above describe premises at any reasonable time for the purpose of inspection. ; [ <br /> Y <br /> M <br /> SIGN HERE . <br /> ( Ignat Mr Or building contraction <br /> ZONING ADMINISTRATOR L5 : <br /> N�i�i i � m <br /> TOWNSHIP PERMITS MAY BE REQUIRED �� I $ 8 8 8$$ $I$ H <br />