Laserfiche WebLink
Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator G� <br /> APPLICATION FOR LAND USE PERMITS U. <br /> OWNER �t^ I T Se. f t L\ �,`z� TELEPHONE bS( -Z35­0 -7 �, O <br /> MAILING ADDRESS <br /> PROPERTY ADDRESS 'mer PQ—f-EI WAY — PIPI' � f eCl - � I ' �V J <br /> Y C7 <br /> LEGAL DESCRIPTION O1 2Q 2S:0 ac? 9 Ob o <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ib ADDITION C DECK ® GARAGE/ACCESSORY STRUCTURE C <br /> BUNKHOUSE C 59.692(1V)GAZEBO C STAIRS C FILLING/GRADING C CAMPING UNIT C <br /> COMMERCIAL BUILDING 71COMMERCIAL ADDITION ElCOMMERCIAL ACCESSORY STRUCTURE Elr" � Cn�. <br /> STRUCTURE/ADDITION USE: <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) <br /> BUILDING CONTRACTOR: <br /> O � <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Yz X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS 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. ^: <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NEW <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, O = R <br /> AND INDICATE NORTH (N). <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 9J <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS, AND (D) LOT DIMENSIONS. O Q <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK (ST) AND DRAINFIELD (DF), AND ALL DISTANCES <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. rn <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.,THE3 <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. O <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN IO <br /> Y ' <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: (� r- <br /> 1 � <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. k] n Z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. CCO� <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. „I <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER iUjCXC3�J 1 n <br /> SETBACK AREA. 1 V <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. :E <br /> 6. <br /> 7. T � 'Do 0 o C1 Da0 7 <br /> 3a n tsi <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my <br /> knowledge and belief It Is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all d d c <br /> Information contained In this application(Including any accompanying schedule)and I further declare that I recognize that this = <br /> D D m ,`O, a <br /> Information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to Issue a permit. I .p1 ii w? IV <br /> further accept all liability that may be a result of the County of Burnett relying on this information I am providing in this c y ;,,w '_^„`R 7 <br /> application. I agree to permit county officials charged with administrating county ordinances or other authorized person to have " j o o 8 8 <br /> access to the above-described premises at time for the purpose of InspeQlon. �❑p5 w� o W a ti <br /> V V Ft, R G. > C 0 <br /> OWNER'S SIGNATURE y, c o rn r) o 2 <br /> 8 SV FS <br /> ZONING ADMINISTRATOR V I F`a <br /> TOWNSHIP PERMITS MAYBE REQUIRED <br /> OCT 152010 ry ' <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ANCE =N <br /> plk0d Ly b[// IR zTTCOUN 8 <br /> � 000 <br /> I I— ,� <br />