Laserfiche WebLink
Burnett County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator - Q o <br /> APPLICATION FOR LAND USE PERMITS . <br /> r <br /> y O r <br /> OWNER `tfC C L L HAfjn/ TELEPHONE / — / 9/ /ZO�p <br /> -c2-, 0 <br /> O <br /> MAILING ADDRESS y� wOt71 Lj <br /> �e PW ;� vor�.(;C <br /> PROPERTY ADDRESS 46 f,��,J `,,�� 1 )Anlauky W1 VIIIAVE <br /> rTPt V� �,/ � I d CSS <br /> !�t[j1 11 <br /> LEGAL DESCRIPTION(see tax receipt) <br /> DWELLING/BUILDING GARAGE/ACCESSORYSTRUCTURE ❑ ADDITION 'm 0 <br /> TYPE OF PERMIT(S): Cr <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION ❑ �` <br /> STRUCTURE/ADDITIONUSE: CAbI4 _3b X 4a / 7 � C�(' k- ice <br /> / <br /> (Home/Cabin; Commerc' I Business; Bedroom; c <br /> eck; etc.) <br /> BUILDING CONTRACTOR: E.1 f IOWNEK l <br /> m <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR m 3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. p <br /> 7J w <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) T a <br /> 'TI O gZ <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. m m M <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE <br /> NORTH(N). N o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO m3 <br /> CENTERLINE OF ROAD,(C)BUILDING(S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF �,, Z <br /> LAKE,STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. U+ (� 9 <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES TO I <br /> BUILDINGS,ROADS, LAKE, LOT LINES. W <br /> Qx <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. 0 0 <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER,BUILDER,CONT TOR, ETC.,THE PLANS M 0, <br /> MUST BE SIGNED AND DATED BY THE OWNER. aG <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIF C/TIO 'jAhA�l7 <br /> NEEDED. C <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. q/. / ' <br /> CONDITIONS OF PERMIT: URN R 1 9 o <br /> % k2'1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT ��C r 'V <br /> ISSUANCE. Z®/v/ O(/�j y pb VVV <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. /VG D� <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 /> �S/EETBACK AREA. <br /> 5. m wm0mo. F m <br /> 6. m 30nD � <br /> m C <br /> 7. Z u COD o <br /> 0 TGi m <br /> I declare that this application (including an accompanyingschedule has been examined b me and to the best of m —�—' D <br /> PP ( 9 Y ) Y Y G)C I ? C <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of m 2 : EA <br /> CL ? L' . <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize CD o my <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- <br /> L7: <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 w <br /> providing in this lication. I agree top cou officials charged with administering county ordinances or other o <br /> m : En: <br /> authorized pers n to ve access to th abveodes bed pr mises at any reasonable time for the purpose of inspection. o : <br /> CD m <br /> SIGN HERE 0 <br /> (signs re of ow or bullding contracto (date) n <br /> ZONING ADMINISTRATOR <br /> fA e)'A 69 N <br /> Po0 N N OO <br /> O t 0 U i O l 0 0 <br /> TOWNSHIP PERMITS MAY BE REQUIRED � <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br />