Laserfiche WebLink
Burnett County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator -0 o 0 <br /> APPLICATION FOR LAND USE PERMITS 3 <br /> N O <br /> OWNER y-�e S I O 4G1 0 '1'&I eV e 116ATELEPHONE O <br /> CD <br /> MAILINGADDRESS 0 + CD <br /> e S z <br /> 0 <br /> PROPERTYADDRESS ° <br /> LEGAL DESCRIPTION see tax receipt) rn <br /> ( P) {-o� o`�O� Gc�d/SP/�. s c21 Uer crew /ar C Q <br /> m <br /> DWELLING/BUILDING ❑ GARAGE/ACCESSORY STRUCTURE ❑ ADDITION to ° <br /> TYPE OF PERMIT(S): a <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION ❑ 0I,, .� <br /> STRUCTURE/ADDITION USE: /�=� � �` � �Xlii lir f` -1 (�✓1 QN WS ZW as{ <br /> (Home/Cabin;Comme ial Business, Bedroom; Deck;etc.) m <br /> BUILDING CONTRACTOR:7)/I/ Kl�ya m <br /> v <br /> CD <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLEjTE OR 3 <br /> 0 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. �� 6(L�a! N <br /> 1 N <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) 0 a <br /> -n v Z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. m <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE a <br /> NORTH(N). to ° <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 <br /> LAKE, STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. o <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES TO Cj <br /> BUILDINGS, ROADS, LAKE, LOT LINES. W <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 PLANS XJ <br /> MUST BE SIGNED AND DATED BY THE OWNER. ' ° <br /> v <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN ° \ <br /> NEEDED. �' UNNNI <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. o <br /> CONDITIONS OF PERMIT- <br /> 1. <br /> ERMIT:1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT �J <br /> ISSUANCE. I <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 /> 5. _ 5/YN ba remoued <br /> m W M M a F <br /> 0 M <br /> 6. .� �f Pg3^6rv+o~ M lv'`�a� 3 2. m Ox a m ;a <br /> N C 0 N 3. 9 3 <br /> �� � pJ f� Z nm ° . 1 <br /> 7. sw la TO `t�lJCti 11o�S � /S4P Ujnel j_� o �, <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the best of my � A <br /> knowledge and belief it is true, correct and complete. I acknowledge that 1 am responsible for the detail and accuracy of u a : v. <br /> n^ : c : 5J <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 /> sue a permit. I further accept all liability which may be a result of the County of Burnett relying on this information I am m <br /> providing in this applicRition. I agree to gerrm county fficials charged with administering county ordinances or other <br /> authorized pers n to have cess tote ve describe cn <br /> premises at any reasonable time for the purpose of inspection. o <br /> [� m CD <br /> ry m : <br /> Lti V <br /> SIGN HERE ` n <br /> building contractor) date) <br /> ZONING ADMINISTR79TEOWNSH!IP <br /> MS MAY: <br /> I EI(NAT EOA E(NAT O dNO, <br /> REQUIRED <br />