Laserfiche WebLink
f v <br /> Burnett County 7410 Co. Rd. K, No. 102, Siren,WI 544872 Office of Zoning Administrator 71 0 0 <br /> APPLICATION FOR LAND USE PERMITS 3 ?_ <br /> OWNER — LLC TELEPHONE ���6�5 _ S Z o <br /> m <br /> MAILING ADDRESS t' O <br /> PROPERTYADDRESS /YlA 1 C" loel <br /> LEGAL DESCRIPTION(see tax receipt) <br /> CCC L� I <br /> DWELLING/BUILDING Pf--GARAGE/ACCESSORY STRUCTURE ❑ ADDITION ❑ N o <br /> TYPE OF PERMIT(S): `v <br /> FILLING/GRADING C PING UNIT ❑ SUBDIVISION ❑ O' \" <br /> STRUCTURE/ADDITION USE: �/C��'J�Y� ° <br /> (Home/Cabin; Comm e cial Business; Bedroom; Deck; etc.) m <br /> m <br /> BUILDING CONTRACTOR: lA/fiGGii> t U <br /> v <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. 'ny <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) O n <br /> � z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. f7 m p <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE C <br /> NORTH(N). rn o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B) BUILDING(S)TO m a <br /> CENTERLINE OF ROAD,(C) BUILDING(S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF �O Z <br /> LAKE, STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. t <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES TO (`j <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 O <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER, BUILDER,CONTRACTOR,ETC.,THE PLANS S n <br /> MUST BE SIGNED AND DATED BY THE OWNER. ,o o A; <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN q „p <br /> NEEDED. A <br /> qe <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. Z (gyp„ <br /> CONDITIONS OF PERMIT- <br /> 1. <br /> ERMIT: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. Q <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 /> 0 <br /> 5. <br /> A m O y 0 0 a F m <br /> 'm c m O n�c n <br /> 6. [/�/ ( m sa nm �, 3 <br /> 7. /V V 1 .1/ Y V � �V V'� 0 C N ry O <br /> VVV--- O m TIS m <br /> I declare that this application (including an accompanyingschedule has been examined b me and to the best of m — r^ O <br /> PP ( 9 Y ) y Y Vic' C <br /> knowledge and belief it is true, correct and complete. I acknowledge that I am responsible for the detail and accuracy of <br /> all information contained in this application (in Ing any accompanying schedule)and I further declare that I recognize (n m v <br /> that this information I am oviding will be r e upon by the County of Burnett Wisconsin in determining whether to is- <br /> sue a permit. I furthe cept all liabili y w c may be a result of the County of Burnett relying on this information I am J f m : o <br /> providing in this cation. I agre o it county officials charged with administering county ordinances or other <br /> authorized pers o have access the ove described premises at any reasonable time for the pur ose of inspection. <br /> T <br /> D <br /> SIGN HERE <br /> (q n <br /> gn ture x o uilding contractor) (date) 0 <br /> ZONING ADMINISTRATOR O <br /> G NUI W W N <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE ff�� <br />