Laserfiche WebLink
Burnett County 7410 Co. Rd. K, No. 102, Sinn, WI 54872 Office of Zoning Adminiotrator m' t o 0 0 <br /> APPLICATION FOR - LAND USE - PERMITS <br /> TO THE ZONING ADMINISTRATOR:The u <br /> signed here makes m <br /> under by application for a Permit for the work descri d and �. <br /> located 89 shown herein. The undersigned agrees that all work shall be done in accordance with the raquireme Of the m c <br /> Burnett County Land Use Ordinance,Sanitation Code, and with all other applicable County Ordinances and the 1 ws and $ <br /> regulations of the State of Wisconsin. w m <br /> OWNER �X A UN 47;,8 �G�E��-�E TELEPHONE 71_S Q <br /> J o <br /> ADDRESS 76-31 S 7— -2f <br /> EMERGENCY/FIRE NUMBER d ROAD NAME <br /> .JC., <br /> LEGAL DESCRIPTION (see tax receipt) <br /> CONTRACTOR rt: <br /> TYPE OF PERMIT(S): DWELLING/BUILDING GARAGE/ACCESSORY STRUCTURE ADDITION <br /> L <br /> SANITARY PRIVY FILLING/GRADING CAMPING UNIT SUBDIVISION o 00 0 _ <br /> �T N <br /> STRUCTURE/ADDITION USE: (.J Y' J `O C-k.%I�— , G v o = ,I <br /> (Home/Cabin;Commercial Busines ;Bedroom;Dec )etc.) ' <br /> 2 0 <br /> 0 9 <br /> DIRECTIONS FOR PLOT PLAN 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 well (W),septic tank (ST),and drainfield (DF). o <br /> 3. Show dimensions in feet of the following:(a)building to all lot lines,(b)building to center line of road,(c) building c ' <br /> measurement to the ordinary high water mark 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 9 <br /> dated by the owner. O o <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED FOR ONSITE VERIFICATION BEFORE A PERMIT CAN BE IESUin ED. 3 y O <br /> PLOT PLAN o & <br /> O < <br /> M � w <br /> o �. <br /> C <br /> M J <br /> F�vy� <br /> },I <br /> m <br /> )J <br /> o <br /> w <br /> Z <br /> b'CM-0 r- m <br /> e Dg� b an M <br /> CONDITIONS OF PERMIT: ,z c g <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN e0 DAYS OF PERMIT ISSUANCE. o F �� <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. —N' <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. N E ` g3 m <br /> 5 <br /> opt : O <br /> I declare that this application(Including any accompanying schedule)has been examined by me and to the best of y knowl- <br /> edge and belief it is true,correct and complete.I acknowledge that I am responsible for the detail and accuracy of all informs- rn <br /> f .+m•+ <br /> tion contained in this application(including any accompanying schedule)and I further declare that I recognize that this Infor- <br /> mation I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to issue a permit. I <br /> further accept all liability which may be a result of the County of Burnett relying on this information I am providing i this ' <br /> plication.I agree to permit county officials charged with administering county ordinances or other authorized perso to have O`. p <br /> access to the above degefibed premises st y reasonable time for the purpose of inspection. Tra ' <br /> m <br /> SIGN HERE <br /> (signature of owner or building contractor) (date) <br /> ZONING ADMINISTRATOR Jif 8 ; <br /> Ego <br /> T <br /> TOWNSHIP PERMITS MAY BE REQUIRED o N 3i o ae'M RIN.8 m <br /> $ 88888 .8.8 trait <br /> --- II <br />