Laserfiche WebLink
4 o <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS N ' <br /> OWNERTELEPHONE-. cra l� <br /> 5TEVGM W�1►JZI�RI. H- 71S-a47-391/o C- (cS1-;`,4 <br /> MAILING ADDRES; y- I aI5 . AVE . ,mer-s��'itt)1 SFO a5 L �,1 <br /> PROPERTY ADDRESS (�Q I C) <br /> F f U <br /> d <br /> LEGAL DESCRIPTION <br /> r)3 , txic��� Sec33- T5/N-2161J w <br /> TYPE OF PERMIT(S):. SINGLE-FAMILY DWELLING ADDITION D K ❑ GARAGE/ACCESSORY STRUCTURE ❑ ',/� <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ STAIRS ❑ FILLING/GRADING ❑ CAMPING UNIT ❑ <br /> 0 <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ 9 S <br /> STRUC rURE/ADO1 '.ON USE: �!)le.�CRBin� (� oz <br /> (Home,/Cabin; Commercial Business; Bedroom; Deck; etc.) <br /> BUILDING CONTRACTOR: <br /> 't 3 S-t <br /> O <br /> A PLOT PLAN MUS'."PE PROVIDED ON AN 8'h X11 SHEET OF:PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS o <br /> WILL BE RETURNED. <br /> c � <br /> DIRECTIONS FOR 1":AT PLAN DRAWING: (ARIAL OR TOP VIEW) p�- <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BESHOWNOR DRAWN TO SCALE. C v <br /> 2. SHOW T'H_ LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTUtES (EB) AND ALL NEW <br /> BUILDINGS/STRUCTU RES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, <br /> AND INDP:'ATE NORTH (N). a <br /> Z <br /> 3. SHOW D:i%ENSIONS IN FEET OF THE FOLLOWING: (A) BUILDINGS)TO ALL LOT LINES, (B) BUILDINGS) .DP <br /> TO CENTEfJ.INE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK 5 O <br /> (OHWM) I;fLAKE, STREAM OR RIVER AND WETLAND AREAS,AND (D) LCE DIMENSIONS. p J <br /> 4. SHOW T6.:. LOCATION OF THE WELL(W), SEPTIC TANK (ST)AND DRAINFTLD (DF), AND ALL DISTANCES 3 Q <br /> TO BUILD1%GS, ROADS, LAKE, LOT LINES. m <br /> 5. INDICATE 1F A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. i <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC.,THE � 1 0 <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. <br /> W r <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN Wy � <br /> NEEDED. Z <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: r ^ VC <br /> � �W <br /> 1. DRIVEWP , MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. n Z W <br /> 2. REMOVA:.!;'r:CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. t; A 8 W <br /> 3. NO GRADc,iG OR SHOREL AND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. <br /> 4. NO STRU(7URES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER \ <br /> SETBACK AREA. _T_ Lij, <br /> 5. ACCESSC`Y(STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDE.-NTIAL GARAGE/STORAGE ONLY. O <br /> NOT TO PPUSED FO HUMAN HABITATION. , � � �, 9 <br /> 6. C4Mpt UnIT- AjloweeQ O� ��/A1/f�ttddde ru"byocQwe in p <br /> I declare that this application(Including any accompanying schedule)has been examined by me and to the best of my <br /> knowledge and bellet!t is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all "o. m �. N•rn <br /> Information containea in this application(Including any accompanying schedule)and I further declare that I recognize that this .� `_ o c m 4 a <br /> Information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to Issue a permit. I e a" a= <br /> further accept all Ilabbity that may be a result of the County of Burnett relying on this informe,tion I am providing In this <br /> application. I agree io permit county officials charged with administrating county ordinances or other authorized person to have 0 8 g <br /> access to the above-6escdbed premises at any reasonable time for the purpose of Inspection. m a c 8 o o <br /> OWNER'S SIGNATURE 1 -3 /a0// eAo a <br /> (date) _ ,$ <br /> ZONING ADMINIS`PRATOR o M <br /> TOWNSHIP PERMITS MAY BE REQUIRED a °° <br /> TH'S PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br />