Laserfiche WebLink
Burnett County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator - o 0 <br /> APPLICATION FOR LAND USE PERMITS CD 3 <br /> ur <br /> N <br /> N <br /> OWNER p m <br /> -a�t.rriL/ TELEPHONE °- <br /> MAILINGADDRESSR t 1j) <br /> G 't GS 7 I arYl!" oo — 5-�h <br /> PROPERTY ADDRESS <br /> �U 1 Lam AAt <br /> �f-�-� <br /> LEGAL DESCRIPTION(see tax receipt) T r <br /> ^ S/, I N <br /> s m <br /> DWELLING/BUILDING ❑ GARAGE/ACCESSORY STRUCTURE ❑ ADDITION ❑ uV�� 0 <br /> TYPE OF PERMIT(S): o <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION o- <br /> ���Cy� <br /> STRUCTURE/ADDITIONUSE: el-A_ L/ <br /> (Hom /Cabs Commercial Business;Bedroom; Deck;etc.) ' <br /> BUILDING CONTRACTOR: <br /> m <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR ° <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. -n 3 <br /> O <br /> DIRECTIONS FOR PLOT PLAN DRAWING• (AERIAL OR TOP VIEW) " <br /> O m <br /> T o. <br /> I. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. Z <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m W <br /> NORTH(N). CCD <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO M 3 <br /> CENTERLINE OF ROAD,(C)BUILDING(S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF v <br /> LAKE,STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. Z <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES TO o <br /> BUILDINGS, ROADS, LAKE, LOT LINES. Q <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 ° <br /> MUST BE SIGNED AND DATED BY THE OWNER. o <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN o ^ <br /> NEEDED. �J <br /> 0 <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. Q <br /> CONDITIONS OF PERMIT: ZO I <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT 1 \ (� <br /> ISSUANCE. I n w <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. x� <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 /> 6. A 0 > 0DO '9 <br /> Q p, 01 0 (D a m <br /> m camF ° m ;a <br /> 7. N C y N O <br /> Z N N O 0 <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the best of ° T� 'CO <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy my of X� W,0, �„ <br /> all information contained in this application(including any accompanying schedule)and 1 further declare that I recognize tG a " : m <br /> that this information 1 am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- Q� c o <br /> CD v <br /> sue a permit. I further accept all liability which may be a result of the County of Burnett relying on this information I am : m <br /> providing in this application. I agree to permit county officials charged with administering county ordinances or other <br /> authorized person to have access to the above described premises at any reasonable time for the purpose of ins <br /> pection. d <br /> mIn <br /> -n <br /> 0 <br /> SIGN HERE m <br /> nature of owner o u ding contractor) (date) o. <br /> ZONING ADMINISTRATOR -7 <br /> • �69 EN fA fA�N <br /> N (T N N O O <br /> TOWNSHIP ERMITS MAY BE REQUIRED <br />