Laserfiche WebLink
Burnett County 7410 Co. Rd. K, No. 102,Siren,WI 54872 Office of Zoning Administrator - 0 0 <br /> CD APPLICATION FOR LAND USE PERMITS . <br /> Vl <br /> W- 6.51 . 578_ 4071 Er+'hYj CD <br /> OWNER 5 V$f11� 7. r D r b r p e a 5t r OM bee 4 TELEPHONE 11 (951 - 771-4943 0 C <br /> w_ <br /> n w <br /> MAILINGADDRESS <br /> jIqD �P55Q/Y1 ,f1P Atte E ST, faL�l /)'1n1 551hln _ <br /> r � <br /> 0 <br /> PROPERTYADDRESS a-769-1 {7rQi} Act r(efr\ LgKe) I ~ <br /> Cn <br /> LEGAL DESCRIPTION(see tax receipt) Se C 1 i 6 A a 7, T 4 0 K1 , R I S W L a+ 0 <br /> DWELLING/BUILDING ❑ GARAGE/ACCESSORY STRUCTURE N ADDITION ❑ (n O <br /> TYPE OF PERMIT(S): CLC <br /> = <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION ❑ �,/� <br /> STRUCTURE/ADDITION USE: P 5D r\Q-Ly 5e .3 0 �✓� 0 � -1�1 <br /> (Home/Cabin;Commercial Business; Bedroom; Deck; etc.) ( <br /> BUILDING CONTRACTOR: Lt 5 j C r 6 U% 1.4 r r S w <br /> m <br /> C <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN B�f.X 11 SHEET OF PAPER. ANY INCOMPLETE OR 3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. p <br /> fNp <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) T n C <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. m jp <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO m 3 <br /> CENTERLINE OF ROAD,(C)BUILDING(S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF v l Z <br /> LAKE,STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. P <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES TO <br /> BUILDINGS,ROADS, LAKE, LOT LINES. <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. o <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER,BUILDER,CONTRACTOR,ETC.,THE PLANS l� _ <br /> MUST BE SIGNED AND DATED BY THE OWNER. f <br /> v = <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE�M :r _ a <br /> NEEDED. �1J <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. <br /> CONDITIONS OF PERMIT: (� <br /> 4� e. <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT I <br /> ISSUANCE. / ( o� <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. <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 /> SETBACK AREA. <br /> s. CYCU c�P� hl <br /> This structure to be used as private residential r a v D v v <br /> 6. (Jy�1' 0 �'0garage/storage onl . Not to be used for human w w w " a m <br /> / Y m 3 am Oran z <br /> N C y N O f C <br /> habitation. W o ; <br /> 7. o y n i m <br /> 1 declare that this application (including an accompanyingschedule has been examined b me and to the best of m <br /> PP ( 9 Y ) Y Y C <br /> knowledge and belief it is true,correct and complete. I acknowledge that 1 am responsible for the detail and accuracy of w o 'A <br /> CL v <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize m o mCDo <br /> that this information 1 am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- ' <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 <br /> providing in this application. I agree to permit county officials charged with administering county ordinances or other o <br /> authorized person to have access to the above described premises at any reasonable time for the purpose of inspection. m o <br /> CD <br /> SIGN HERE B3r / ' �/ _U 1`L¢ �rCa.G G.O+ `b / �7 " ODI- d ca 3 _ <br /> Y yi CDw <br /> (signature of owner or building contr ctor) (date) CL <br /> ZONING ADMINISTRATOR c r�hl BLS 1 ; '• <br /> fA(A EA fA ro <br /> N (T N ro O O <br /> TOWNSHIP PERMITS MAY BE REQUIRED /t)--LV ffu- <br /> D(Ly�QY <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE 10 <br /> 36th 41 MSI llled �"� <br />