Laserfiche WebLink
C A p <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator g � <br /> APPLICATION FOR LAND USE PERMITS y. y <br /> n <br /> OWNER /1 O/fir TELEPHONE <br /> Y lA O <br /> b53L{5 � <br /> MAILING ADDRESS /3 <br /> PROPERTY ADDRESS1R�{f C) <br /> LEGAL DESCRIPTION r" <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ❑ ADDITION DECK ❑ GARAGE/ACCESSORY STRUCTURE ❑ o N <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ STAIRS ❑ FILLING/GRADING ❑ CAMPING UNIT❑ <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ r'/ <br /> 0 <br /> STRUCTURE/ADDITION USE: l�N�l� ��c ti?C� �Oor✓1 �1-0 <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) 1n' <br /> BUILDING CONTRACTOR: SfK1 r'3C-t C zvv-tom. 0_o,) rejc- oi, J <br /> 35o? Cq <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8'h X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS <br /> WILL BE RETURNED. i <br /> a <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) m a <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB) AND ALL NEW m ' 3 <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, o <br /> AND INDICATE NORTH (N). N o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S) TO ALL LOT LINES, (B) BUILDING(S) B <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK w' <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS, AND (D) LOT DIMENSIONS. p <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK (ST)AND DRAINFIELD (DF), AND ALL DISTANCES ; S. 41 <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC.,THE o (' <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. <br /> ' O <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN ..I <br /> NEEDED. • <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. n Z \ <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER ro <br /> SETBACK AREA. l/) <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. <br /> 7. z 'b � o 0 onc � b <br /> $ n n9 a L' m om <br /> G 3 3 3 $ <br /> I declare that this application (Including any accompanying schedule)has been examined by me and to the best of my <br /> knowledge and belief It Is true,correct and complete. 1 acknowledge that I am responsible for the detail and accuracy of all c m °-RL E. o' -q <br /> Information contained In this application(Including any accompanying schedule)and I further declare that I recognize that this > d m a <br /> Information I am providing will be railed upon by the County of Burnett Wisconsin In determining whether to Issue a permit. I d �, ?w' - ra <br /> further accept all liability that may be a result of the County of Burnett relying on this Information I am providing In this it H = �'t'N 'V <br /> application. I agree to permit county officials charged with administrating county ordinances or other authorized person to have d,°2 0 0 <br /> access to the above-described premises at any reasonable time for the purpose of Inspection. m o, o'A c o 8 y <br /> > 8 •� <br /> OWNER'S SIGNATURE <br /> (date) o 'a> > 0 6 c 2 <br /> ZONING ADMINISTRATOR y p : a �y <br /> tm <br /> 0 <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE C ti o u v,o <br />