Laserfiche WebLink
n�) c'c;y)-\11P, <br /> Burnett County 7410 Co. Rd. K, No. 102, Siren, WI 54872 Office of Zoning Administrator 0 M 0 0 <br /> APPLICATION FOR - LAND USE - PERMITS 3 <br /> 70 THE,ZONING ADMINISTRATOR:The undersigned hereby makes application for a Permit for the work described and '? a2. <br /> located as shown herein. The undersigned agrees that all work shall be done in accordance with the requirements of the <br /> Burnett County Land Use Ordinance,Sanitation Code, and with all other applicable County Ordinances and the laws and 3 0. <br /> regulations of the State of Wisconsin. "' o <br /> N d <br /> N � <br /> C <br /> OWNER Bob Behan TELEPHONE (715) 635-8011 <br /> ADDRESS 25779 County Road H Web,5teh, WI 54893 " <br /> EMERGENCY/FIRE NUMBER 25779 ROADNAME County Road H <br /> I <br /> LEGAL DESCRIPTION (seetazreceipt) NE NUJ Section 33, T40N, R14W, Town ob Scott <br /> i <br /> CONTRACTOR <br /> TYPE OF PERMIT(S): DWELLING/BUILDING GARAGE/ACCESSORY STRUCTURE ADDITION O <br /> SANITARY PRIVY_ PRIFILLING/GRADING CAMPING UNIT SUBDIVISION o <br /> 0 <br /> STRUCTURE/ADDITION USE: SanitaAy On.ey r <br /> o <br /> (Home/Cabin;Commercial Business; Bedroom;Deck;etc.) Z <br /> o <br /> a <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). <br /> 3. Show dimensions infeet of thefollowing:(a)building to all lot lines,(b)building to center line of road,(c)building <br /> measurement to the ordinary high water mark of lake,stream, or river. Q <br /> 4. If separate plans are submitted by an architect,engineer,builder,contractor,etc.,the plans must be signed and A <br /> dated by the owner. O a <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED FOR ONSITE VERIFICATION BEFORE A PERMIT CAN BE ISSUED. on a rn <br /> PLOT PLAN z <br /> o a <br /> C <br /> M <br /> SEE ATTACHED m <br /> 0 <br /> N <br /> O <br /> J <br /> m <br /> y <br /> I <br /> Z <br /> f <br /> CONDITIONS OF PERMIT: v m y. Z cSO FF30 m M <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT ISSUANCE. e F <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. =y <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. 62 m <br /> o [ A <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my knowl- 0 <br /> . o': e C <br /> edge and belief it is true,correct and complete.I acknowledge that I am responsible for the detail and accuracy of all informs a ro`n m <br /> tion contained in this application(including any accompanying schedule)and I further declare that I recognize that this infor- is g <br /> mation I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to issue a permit. I ; o`$ o <br /> further accept all liability which may be a result of the County of Burnett relying on this information I am providing in this ap <br /> plication.I agree to permit county officials charged with administering county ordinances or other authorized person to have O N o <br /> access to the above described premises at any reasonable time for the purpose of inspection. m c m . <br /> 0 <br /> m m A <br /> SIGN HERE Wade Ru ,shotm <br /> (signature of owner or bu' In cont t I i. -�_ <br /> ZONING ADMINISTRATOR <br /> TOWNSHIP ERMITS MAY BE REQUIRED N N In <br /> M <br /> g <br /> 0 'o U) <br />