Laserfiche WebLink
N 9 z <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54672 Office of Zoning Administrator a 3 <br /> APPLICATION FOR LAND USE PERMIah COMPUTERS <br /> AN E <br /> OWNER G 1 I ryiLl TELEPHONE o J� <br /> h a ^v Slv%hJd� 7/,5 —/ 6oz) _ d <br /> MAILING ADDRESS /'I A <br /> IAy y <br /> PROPERTY ADDRESS 1 <br /> >ot/ CJ/-n hojje? /r/_ O .z?/�z2Z d <br /> LEGAL DESCRIPTION 66V /��� 6 SC ;L7 / 7k tj 1z /y W 0 S <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING'F ADDITION 0 DECKV1 GARAGE/ACCESSORY STRUCTURE 0 ti \ <br /> BUNKHOUSE 0 59.692(1V)GAZEBO 0 STAIRS 0 FILLING/GRADING 0 CAMPING UNIT 0 <br /> S <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION 0 COMMERCIAL ACCESSORY STRUCTURE 0 c <br /> STRUCTURE/ADDITION USE: _ <br /> (Horn Cabin; Commercial Business; Bedroom; Deck; etc.) <br /> BUILDING CONTRACTOR: Uw✓ �' /G.✓�id>, <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Yz X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS C o_ <br /> WILL BE RETURNED. m '" <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) tni o <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. Fr <br /> C d <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, v <br /> AND INDICATE NORTH(N). N J c <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDINGS)TO ALL LOT LINES, (B)BUILDING(S) <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK w2 0 <br /> (OHWM) OF LAKE,STREAM OR RIVER AND WETLAND AREAS, AND (D) LOT DIMENSIONS. p d <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. o 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.,THE 73 ,b E <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. 71ZJ <br /> 1 <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN ,..i <br /> NEEDED. <br /> I�1J <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. n z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. a C <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER , <br /> SETBACK AREA. <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. f <br /> 7, g0annna >a -0 <br /> n L' 333 �' R <br /> I dedare 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 q to n u =m y <br /> Information contained In this application(in ding any acmmpanying schedule)and I further declare that I recognize that this �. n n w `O <br /> information I am providing will be reli up n y the County of Burnett Wisconsin In determining whether to issue a permit. I d E,A n = Y <br /> further accept all liability;tt & <br /> unty of Burnett relying on this Information I am providing In this <br /> application. I agree to pith of <br /> county ordinances or other authorized person to have 1D a,°2 0 "' <br /> access to the above-descbie time for the purpose of Inspection. ° a $H jAvi n <br /> f17p$ OOWNER'S SIGNATURE (da )ZONING ADMINISTRAaNSHIP PERM MAY BE REQUIRED n °° <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br /> N N O O p O $ <br />