Laserfiche WebLink
m o Z <br /> Office of Zoning Administrator 3 p <br /> Burnett County 7410 Co. Rd. K, No. 102,Siren,WI 54872 c 0 <br /> ^�ygpPLICATION FOR LAND USE PERMITS ��/,, <br /> .J�"" I TELEPHONE I J .. �`f ' ( FJ s p 9 <br /> m <br /> v o Ike �1 � ° <br /> OWNER h <br /> MAILINGADDRESS <br /> 30q 1lYtG/h Q I N <br /> Pj <br /> ROPERTYpERTY A��r IcI.ZIo V (Ob �I �b� <br /> �cRE5 .bia 4o'-I�F–I`I-b <br /> 511 /T4o/fzi'f — Pc� (roll cera a <br /> __ ADDITION Q <br /> LEGAL DESCRIPTION(see tax receipt) pp�I n A <br /> DWELLINGIBUILDING Ip1 GARAGOACCESSORY STRUCTURE _ x <br /> TYPE OF PERMIT(S): FILLINGIGPkDING ❑ CAMPING UNIT 11SUBDIVISION ❑ � � <br /> AN <br /> ' Deck; etc.) c' <br /> n Bedroom; 2 <br /> STRUCTUREIADDITION USE; (HomelCabm,Commercial Business; m <br /> o �t'�-�rlytl 4 <br /> BUILDING CONTRACTOR: 3. <br /> � <br /> MUST BE PROVIDED ON O <br /> A PLOT PLAN AT LEAST AN 8'/=X 11 SHEET OF PAPER. ANY INCOMPLETE O <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. Tn Z <br /> A �. <br /> m <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIE <br /> m J \ 9 <br /> J. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DB)AND ALL RAWN TO SCALE. BUILDING(S)TO Z <br /> 2, SHOW THE LOCATION AND SIZE OF ALL EXISTING BUI BUILDING(S)TO ALL OT LINES,(g)UILDINGS(NB)AND INDICATE 4 0 <br /> NORTH(N). <br /> OF <br /> 3, SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) <br /> CENTERLINE OF ROAD,(C)BUILDINGS)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM) <br /> LAKE, STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS o <br /> q, SHOW NGS ROADS,HE tLAKE,L07OF THEYLINESW) SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES T <br /> BUILDER,CONTRACTOR, ETC.,THE PLANS <br /> BUILD ENGINEER, p <br /> 8. INDICATE IFA WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FTOR � o <br /> 8 IF SEPARATE PLANS ARE SUE MUST BE SIGNED AND DATED BY THE OWNER.IMITTED 13Y AN RCHITECT, <br /> Z <br /> NOTE: BUILDINGISTRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHENo YU <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW <br /> C NDITIONS OF PERMIT: <br /> REQUIREMENTS WITHIN 60 DAYS OF PERMIT <br /> 1, DRIVEWAY MUST MEET DRIVEWAY WIDTH <br /> ISSUANCE. V <br /> 3. NO GRADING O CU TING O AND ALTERATIONS ARE ALLOWED LLOWED UNLESN IS S SPECIFICALLY CALLLLY ALONG LIN <br /> sHO <br /> PERMITTED. INCLUDING RETAINING WALLS,ETC., ALLOWED WITHIN THE REQUIRED WATER r D O D O <br /> q, NO STRUCTURES, C�l ) I_q I ajs W y m r+ m a £ rn <br /> SETBACK AREA. .J C U "`777 III CI s`D A <br /> 5. D G� �6 6 9 O A y J t0 -I <br /> O N n m <br /> 6. �r C. C , e))s+ L� L)- C_ <br /> me and to the best of my w Cc "' A <br /> T o.; m <br /> accompanying schedule) has been examined 6y m _ O <br /> I declare that this application <br /> including any late I acknowledge that 1 am responsible for the detail and accuracy ze N <br /> correct and comp an accompanying Y ing schedule) and I further declare thv+hterrreiheo90 1is- <br /> . <br /> s m , o <br /> knowledge and belief it is true, application(including Y t m m <br /> all information contained in ovi Bang will be relied upon by the Count of Burneof Burnett relying on his information I am <br /> be a result of the County, county ordinances or other <br /> that this information I amp action. n <br /> permit 1 further accept all liability which may officials charged with administering ur ose of inspection. D <br /> sue a p agree to permit county reasonable time for the P P m n <br /> In this application. I a9 Lr -)VO 7 n <br /> providing LL_—NL– ,GLiV�r `n <br /> to have ac Pit <br /> s to the aboveripremise any 1'WAr ' o` <br /> authorized <br /> (date) <br /> contractor)SIGN HERE Irowner or building <br /> �6i fA bi EARN <br /> ZONING ADMINISTRATOR <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br />