Laserfiche WebLink
Burnett County 7410 County Road K,No. 102, Siren,WI 54872 Office of Zoning Administrator G <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNERTELEPHONE <br /> PI, 'k �' I�C4rrA <br /> PROPERTY ADDRESSArk C, ` 1.1e(„�.( - - . .�lr <br /> o -10 LTt' W PTtGi U/ _ 1 <br /> LEGAL DESCRIPTION _ <br /> MAILING ADDRESS / si��5 �� ' <br /> U�� � n/l Ycsk wu.tf, Sui 1t, lSb Nl.'nnra„n/;si /art ST _ <br /> TYPE OF PERMIT(S): v <br /> Cl Single Family Dwelling 9 Garage/Accessory Structure ❑ Stairs ❑ Commercial Building <br /> Cl Addition ❑ Bunkhouse ❑ Filling/Grading Cl Commercial Addition a <br /> Cl Deck - ❑I 59.692(Iv)Gazebo L3 Camping Unit Cl Commercial Ace Structure <br /> STRUCTURE/ADDITION USE: Gafado. Eno - <br /> (Home/Cabin;Commercial Business; Bedroom; Deck; etc.) < <br /> ((�� z <br /> BUILDING CONTRACiOR:� ISQ 4 S/De7 <br /> n <br /> PLOT PLAN---INCOMPLETE OR ILLEGIBLE PLOT PLANS WILL BE RETURNED. <br /> `**REOUIRED PLOT PLAN INFORMATION'** <br /> ❑ 8'/z"X 11"SHEET OF PAPER DISTANCE(IN FEET)TO, r _o <br /> ❑ DRAWN TO SCALE OR DISTANCES LABELED ❑ WELL 1 <br /> O PROPOSED BUILDING/STRUCTURE LOCATION ❑ SEPTIC TANK& DRAINFIELD' <br /> ->Dimensions&Heights ❑ ROAD RIGHT-OF-WAY IF SURVEYED <br /> ❑ EXISTING BUILDINGS/STRUCTURES (Includes deck, porch, etc.) 4CENTERLINE IF NOT SURVEYED - <br /> -->Dimensions&Heights Cl ALL PROPERTY LINES _ <br /> ❑ NORTH ARROW Cl ORDINARY HIGH WATER MARK - <br /> ❑ ALL WETLAND AREAS <br /> NOTE: Building/structure location mus[be staked for onsite verification when needed, D � <br /> THIS PERMIT IS orSUBJECT <br /> cul TO ALL CONDITIONS LISTED BELOW: ECENED I I Z) <br /> • Removal ur Nron l of gees and vegetag walls,et is arerestricted <br /> allow along shoreline 1 <br /> • No stmoures <br /> gra i(including or sh retaining walls,etc.)are allowed unless specifically permute AUG 14 2014 IIF),-_. � <br /> • No filing,grading,or shore land alterations are allowed unless specifically permittetl _ _ <br /> • Driveway must meet width requirements within va days dof epermit BURNM L <br /> • Accessary t ry e used fo humor permits allow for tai sto residential storage only COUNTY <br /> ­Not to be used far human habitation or rental storage" ZONING <br /> I declare eat this application(including any accompanying schedule)has been examined by me and to me best of my knowledge and <br /> belief it is time,correct and complete. I acknowledge that I am responsible for the detail and accuracy,of all information contained in <br /> this application (intluding any accompanying schedule)and I further declare Nat I recpgnize that this Mrormation provided will be <br /> relied upon by Ne Countyne Burrett WisWnsin in determining whether to mauve a permit I further accept all liability Mat may re a <br /> result ofee County of Burrettrelying an other <br /> rauthorizeI laproviding re elsapplication. Iagree toPermit countsofficials tlrargM f <br /> time fair Me <br /> county ordinances or Deer aueodzed persons a have access to Ne above-0ezcdbed premises at any reasonable <br /> time for ee purpom of inspection. <br /> nm > nnr. n > o <br /> � ' 333oa ` <br /> ---ADDITIONAL CONDITIONS--- Fenor <br /> QST14NcTuR� voT To BE ub610 /."A Hifi ry HAATT/F7-2oi14 a ? <br /> D " iw in so <br /> OWNER'S SIGNATURE �'' �' r, > .- <br /> � r, ch _ T <br /> ZONING OFFICIAL •' $ ZI / ' fig : "¢ r <br /> (da e) _ fie : i - <br /> "TOWN/UDC PERMITS MAYBE REQUIRED •'THIS PERMIT SMALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE -You are responsible for complying with state and federal laws concerning construction near or on wetlands, lakes, and streams. <br /> Wetlands[hat are not associated with open water can de difficult to identify. Failure to comply may result in removal or modification <br /> of construction that Wolates the law or other penalties or costs. For more information visit the Department of Natural Resources = <br /> wetlands identification web page or contact a Department of Natural Resources service center. - <br />