Laserfiche WebLink
Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator Fr P <br /> APPLICATION FOR LAND USE PERMITS �: F <br /> R o� <br /> OWNER /'t r�� fir/ ! �1 TELEPHONE <br /> ?SZ-3$!A_�/73el / e ("I <br /> MAILING ADDRESS na 4.�aY �TG •1pr V/ jS 044f mwg �fp I ( R <br /> PROPERTY ADDRESS <br /> Q� Com, t 5At. wr <br /> Ael ,� y8o l <br /> LEGAL DESCRIPTION Ir"4 of ` 4 �� 6 iPN t1 r- <br /> _��, <br /> .-jc�/4 � i Tom r_1' Se.)'� Crr~tibt 8w-ti�li. S •� Vs a <br /> TYPE OFPERMIr(s): SINGLE-FAMILY DWELLING)i ADDITION ❑ bECKC1 GARAGE/ACCESSORY STRUCTUREA <br /> BUNKHOUSE D 59.692(1V)GAZEBO O STAIRS O FILLING/GRADING O CAMPING UNIT O <br /> COMMERCIAL BUILDING D COM14ERCIAL ADDMON O COMMERCIAL ACCESSORY STRUCTURE D c <br /> STRUCTURE/ADDITION USE: I o C. <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) Ir <br /> BUILDING CONTRACTOR: T" �G- <br /> n <br /> p 3 � <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8'h X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS a <br /> WILL BE RETURNED. n <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) tail lO c <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. C O <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, <br /> AND INDICATE NORTH (N). 1 Z <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B) BUILDING(S) OrJ <br /> TO CENTERLINE OF ROAD,(C).BUILDING MEASUREMENTS)TO THE,ORDINARY HIGH WATER MARK <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D) LOT DIMENSIONS. p i Q <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND.DRAINFIELD(DF),AND ALL DISTANCES Qj �. <br /> TO BUILDINGS,ROADS,LAKE, LOT LINES. R H <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 -L o <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. '� a <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. 1 <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: Ufjl r <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. W <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. F <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 1 <br /> SETBACK AREA, CS <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION../ <br /> 6. oh-St&_ JQV tired L(/uE'�bfry� fi aL.rr 6f 70 <br /> I dedare that this application(including any accompanying schedule)has been examined by me and to the best of my o .', 9 w' <br /> knovAedge and belief It is tore,correct and complete. I admowledge that I am responsible for the detail and accuracy of all c, m=C IL <br /> Information contained In this application(including any accompanying schedule)and I further declare that I recognize that this v E.a>to fie, <br /> Information I am providing will be relied upon by the County of Burnett Wisconsin In determining whether to Issue a permit I <br /> further accept all gabllity that may be a result of the County of Bin. relying on this Information I am provkdng In this ¢ y 1„ <br /> application. I agree to pamd county s charged with odmird matky county ordinances or other authorized person to have j R"' <br /> access to the ahovrdeavibed ata reasons for Me purpose of inspection. m w <br /> .. . 5 � �4 . Z0 naogo r <br /> OWNER'S GI6NATUR n y y c m y <br /> (date) 3 G = Z <br /> q R � <br /> 2AMNGADta tbd2. y � b w � � <br /> -A <br /> TOWNSHIP PERMITS MAY BE REQUIRED. R <br /> ; :TtiTS P IT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE p p <br /> U OC �00 <br /> '�I�y /m.+� WY-�/oicKea/ uP6� Te�ry DKpneK I -�� <br />