Laserfiche WebLink
C � Z <br /> Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS S(vvUry�� <br /> OWNER TELEPHONE �O/ /Z _ 7G,C?.�'� <br /> MAILING ADDRESS 24/ L) � I (71e Pa L r/A_ ��/�� Q? O_ <br /> PROPERTY ADDRESS <br /> j✓/1�/ �J <br /> /7 10ARr Sr N0134 t",/1 S6 Sofa U <br /> LEGAL DESCRIPTION � <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ❑ ADDITION DECK❑ GARAGE/ACCESSORY STRUCTURE ❑ <br /> A <br /> BUNKHOUSE ❑ 59.692(IV)GAZEBO❑ STAIRS❑ FILLING/GRADING ❑ CAMPING UNIT❑ U r 3_ <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE❑ o <br /> M Ar <br /> STRUCTURE/ADDITION USE: AW ( i,J � / L� <br /> orate+ in; ommeercia usmess; Om; c ;e C. W <br /> BUILDING CONTRACTOR: KOO, COL15/ciUC-77))AJ s,p W� C �\-,"� Q• <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 th X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLATIS o. <br /> WILL BE RETURNED. 'n <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) <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/STRUCTURES(EB)AND ALL NEW m o <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, 9 <br /> AND INDICATE NORTH(N). O O o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S) <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS. ➢J ti w <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. C7 o <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 I (� <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. y Q <br /> 1 <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEPI tR <br /> NEEDED. \ F <br /> THIS PERMIT IS SUBIECT TO ALL CONDITIONS LISTED BELOW: �? <br /> z <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. 'z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. <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 /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> TTX BE USED FOR HUMAN HABITATION. ld�� :E <br /> 6. F�: �l,Clu��- �u� - Na »4cQd.�i.�� a rdur�S - e5S / "an S <br /> PZanood > ° '0 <br /> 7. 3@vc. c � <br /> I declare 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 <br /> information contained in this application(including any accompanying schedule)and I further declare that I recognize that this <br /> information I am providing will be relied upon by the County of B nett Wisconsin in determining whether to issue a permit. I <br /> further accept all liability that may be a result of County f r ett relying on this information I am providing in this o H 8 : o "' <br /> application. I agree to permit coon fRde`rs ch ged with i st ting county ordinances or other authorized person to have m a w o y <br /> access to the above-descri remises a y e 1 f r t se of inspection. / c F g d 'K o y <br /> OWNER'S SIGNATUR /D <br /> (date) Cc �' : 'rs� x � .11 <br /> aac : BC] Ci7 <br /> ZONING ADMINISTRATOR —7 F — <br /> WNSHIP PERMITS MAY BE REQUIRED 0 ; <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE =N = <br /> lP�erml4-Qi 104-erpick.Pd 10C4 ue C49( I�3 <br />