Laserfiche WebLink
Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator a (j) z <br /> APPLICATION FOR LAND USE PERMITS <br /> �- <br /> OWNER .� ���N7a� TELEPHONE T/ —f77_Ss st� <br /> MAILING ADDRESS 7 r�/ `Ne ! f�(o �.tt/ !Ss���j \, <br /> PROPERTY ADDRESS <br /> LEGAL DESCRIPTION /f CJ yL/ o <br /> SOT I P <br /> SINGLE FAMILY DWELLING ❑ GARAGE/ACCESSORY STRUCTURE ADDITION ❑ STAIRS O <br /> TYPE OF PERMIT(S): <br /> FILLING/GING 13 CAMPING UNIT BUNKHOUSE ❑ 5 .692(1V)GAZEBO ❑ DECK ❑ <br /> r � <br /> STRUCTURE/ADDITION USE: �li C <br /> (Home/Cabin; Commerkial Business; Bedroom; Deck; tc.) —. c <br /> BUILDING CONTRACTOR: AJA <br /> n <br /> 3 <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Vx X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS 0 � <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) A <br /> 6 <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. ry <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, toO 3 <br /> AND INDICATE NORTH (N). p <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) N 91 o <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. w <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES p <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. q <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. – w <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC.,THE <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. <br /> 0 <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> r <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. Nji <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. n <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. z <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER A <br /> SETBACK AREA. <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. / <br /> 7. <br /> ^ 7y �ncoOO b <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my knowledge s ,e � �R Dc <br /> and belief it Is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all information y z c�_c <br /> contained In this application(Including any accompanying schedule)and I further declare that I recognize that this information I o w o o w <br /> am providing will be relled upon by the County of Burnett Wisconsin In determining whether to Issue a permit. I further accept allot <br /> N „� <br /> liability that may be a result of the County of Burnett relying on this Information I am providing In this application. I agree to A l <br /> permit county officials charged with administrating county ordinances or other authorized person to have access to theabove- d <br /> described premises at any reasonable time for the purpose of Inspection. v C N 8 N N c <br /> pp m <br /> OWNER'S SIGNATURE (date) <br /> tl <br /> T �I,,, 1�, v "3 <br /> ZONING ADMINISTRATOR ' F4 l) ate�*/ I <br /> $_cUQ <br /> am 2f <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br /> H_ : N: <br /> W g W N HA <br /> U yN O <br />