Laserfiche WebLink
Burnett County 7410 County Road K, No. 102, Siren, WT 54872 Office of Zoning Administrator a A <br /> APPLICATION FOR LAND USE PERMITS W <br /> VI y <br /> OWNER _ <br /> lr�� L/�+,�„� <br /> MAILING ADDRESSZ9—,!@ <br /> r�lSrr�V -J ' <br /> oW G fie/' <br /> PROPERTY ADDRESS ;`/�M� �� i <br /> RCJ o <br /> TOWN OF' /NCVL � <br /> LEGAL DESCRIPTION <br /> k/ SJ6 4X cs P 8W ls�- 3�- t7 <br /> TYPE OF PERMrr(S): SINGLE-FAMILY DWELLING❑ ADDITION ❑ DECK ❑ GARAGE/ACCESSORY STRUCTURE Jr' <br /> BUNKHOUSE CI 59.692(IV)GAZESO ❑ STAIRS 0 FILLING/GRADING El CAMPING UNIT 0 E <br /> COMMERCIAL BUILDING Cl COMMERCIAL ADDITION O COMMERCIAL ACCESSORY STRUCTURE O c <br /> STRUCTURE/ADDITION USE: stU✓aG E <br /> (Home/Cabin, mmercial Business; Bedroom; Deck; etc.) ° <br /> BUILDING CONTRACTOR: 1 <br /> n <br /> +r <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Yz X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLEPLOT PLANS C o <br /> WILL BE RETURNED. _ <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) !� <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. I d <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW o <br /> BUILDINGS/STRUCTURES CNB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH (N). p <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) <br /> TO CENTERLINE OF ROAD, (C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK U <br /> (OHWM) OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D) LOT DIMENSIONS.' <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK(ST)AND DRAINFIELD (OF),AND ALL DISTANCES - <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. 1 <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 c <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER, <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDMONS LISTED BELOW: <br /> r <br /> n <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. `9 <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. n z <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 <br /> SETBACK AREA. <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. <br /> I declare that this application(Including any accompanying schedule)has been examined by me and to the best of my y e S a 3 ' E: W <br /> knowledge and belief it Is true,Correct and complete. I acknowledgethat I am accuracy -. 4.r <br /> Information contained In this application(including an accompanying rand I further <br /> for Me retell and cogni of all � ' ty,w �& P y <br /> PP ( nt Y panylnp schedule)end 1 further declare that I recognize that this o a c c <br /> Information[am providing will be celled upon by the County of Burnett Wisconsin lel determining whether to Issue a permit. I <br /> further accept all liability that may be a result of the County of Burnett relying on this Information I am providing In this <br /> application. I agree to permit county offldals charged with administrating county ordinances or other authorized <br /> access to the above-described premises at any reasonable time for the Purpose of Inspection, Pe Son to have <br /> .� .. _.,. n a8 uU gy <br /> OWNER'S SIGNATURE i �� p 38 D <br /> G <br /> (date) (Aa �:wngv, r0 <br /> Imo/ S' <br /> ZONING ADMINISTRATOR ►m 7 ! ��Q '� �-o' a w'`�o�° <br /> ^ o 0 <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHAH EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br /> p U p <br />