Laserfiche WebLink
Burnett County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator - 0 0 <br /> APPLICATION FOR LAND USE PERMITS 3. <br /> r <br /> o Q <br /> w <br /> c � <br /> A/ p m <br /> OWNER ClGk.S' ST2/fC� CotinoMl�Viy c/ TELEPHONE 7/-3 d(O� y�70 An <br /> m v, <br /> MAILING ADDRESS Po 130>( 7 7 U-rler6 5`7A,*`!� W/ ,J 4f pi! V <br /> r � <br /> PROPERTY ADDRESS 2 76,? e5 '71zU6 R /eotrJ��STA -54` .? I o <br /> LEGAL DESCRIPTION(see tax receipt) Pt-gr Of L-CIGKY 5('A1<,e <br /> /V�� _A <br /> DWELLING/BUILDING 11GARAGE/ACCESSORY STRUCTURE ADDITION ❑ 1 m <br /> TYPE OF PERMIT(S): Q <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION ❑ a <br /> STRUCTURE/ADDITION USE: .SrOAA64 �-� �. o <br /> 0 <br /> p !1 (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) to J <br /> BUILDING CONTRACTOR: N097k /tAJ !/C4j,6s GGaS[. m <br /> v <br /> m <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR 3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. <br /> O 1V� <br /> A w <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) O n <br /> Z <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 (EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m <br /> NORTH(N). h o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S)TO m -33 <br /> CENTERLINE OF ROAD,(C)BUILDING(S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF Z <br /> LAKE, STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. J 9 <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES TO <br /> BUILDINGS, ROADS, LAKE,LOT LINES. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. 1 0 <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER,BUILDER,CONTRACTOR, ETC.,THE PLANS ,9 P <br /> MUST BE SIGNED AND DATED BY THE OWNER. F r <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAYBE DONE WHEN o <br /> NEEDED. » <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. o 'z <br /> A J <br /> CONDITIONS OF PERMIT: (� � C> <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT �-I' C^� 3 w <br /> ISSUANCE. J <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 /> 5. SETBACK AREA. This structure to be used as Private residential <br /> garage/storage only. Not to be used for human ; > o a o m <br /> s. habitation. g x aC g x a - A <br /> omN `.' o � 3 <br /> 7. Z cr'nm o o�D -i <br /> o m A <br /> I declare that this application (including an accompanyingscneame nas peen eaammeo o me anu to the Desi or m d' A <br /> PP ( 9 Y 1 Y Y Lj2 : v : C <br /> knowledge and belief it is true, correct and complete. I acknowledge that I am responsible for the detail and accuracy of �` o' <br /> a u, A <br /> all information contained in this application(including any accompanying schedule)and 1 further declare that I recognize E mmo <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- �Y <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 o <br /> providing in this application. I agree to permit county officials charged with administering county ordinances or other <br /> authorized person to have access to the above described premises at any reasonable time for the purpose of inspection. . m n <br /> T <br /> D <br /> SIGN HERE 9,rjo—� 7i <br /> jt D/pa;uure hof owner or building contractor) (date) <br /> Jim ZONING ADMINISTRATOR t' r re! FCLC�� � <br /> fn in to <br /> O N D N O <br /> OUtO titO <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> IS PERMITS ALL EXPIRE ONE YEAR FRPM DA E OF ISS NC <br /> ermr+ 4-7� PIC" kP I'y k9r� TOS 6-ao-os <br />