Laserfiche WebLink
Burnett County 7410 Co. Rd. K, No. 102, Siren, WI 54872 Office of Zoning Administratord M o a <br /> APPLICATION FOR — LAND USE — PERMITS 3 ' <br /> r m o <br /> TO THE ZONING ADMINISTRATOR:The undersigned hereby makes application for a Permit for the work described and � m <br /> located as shown herein. The undersigned agrees that all work shall be done in accordance with the requirements of the m m <br /> Burnett County Land Use Ordinance,Sanitation Code, and with all other applicable County Ordinances and the laws and <br /> regulat'ons of the State of Wisconsin. yat "1 <br /> OWNER (Please Print) Contractor or Surveyor or Agent o <br /> J1/� 4 14.1 a-> ' <br /> Adgss Address <br /> City, State,Zip Code City, State, Zip Code \ <br /> Tele p on p� Telephone 1 <br /> �Lam-- 3l _ <br /> Emergency/FireG /1GPRoadXe 1 <br /> CL <br /> Legal Description (as indicated on tax statement) <br /> o <br /> Permit(s)Applied for: 0 �- <br /> Dwelling AddFI'lling/Grading Camping Unit o <br /> Z o <br /> Accessory Building Sanitary P Subdivision ° m <br /> Garage L� <br /> Structure Use: -� r <br /> 0 <br /> (family home/cabin, garage, addition, etc.) --�. <br /> DIRECTIONS FOR PLOT PLAN DRAWING: <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). 0 3 <br /> an 3. Show the location of any lake or flowage-if within 1000 ft. and the location of any river or stream-if within c <br /> 300 ft. o a <br /> 4. Show dimensions in feet of the following:(a)building to all lot lines,(b)building to center line of road,(c)building )jH: <br /> to lake, river or stream, if applicable. [A k <br /> 5. If,separate plans are submitted by an architect,engineer,builder,contractor,etc.,the plans must be signed and C <br /> dated by the owner. m ! o) <br /> PLOT PLAN <br /> o <br /> K <br /> N <br /> j J(J <br /> m <br /> w � <br /> !� t ?C Z <br /> C'J <br /> hnl <br /> f <br /> $` ei(pt r ' m o i <br />