Laserfiche WebLink
Burnett County 7410 Co.Rd. K,No.102,Siren,W154872 Office of Zoning Administrator -U c o <br /> APPLICATION FOR LAND USE PERMITS <br /> .. r <br /> c <br /> m <br /> OWNER J Q T f �dS �t�r TELEPHONE ]is �(y�j"'�(o d <br /> •�-7l_p C ) ° O <br /> MAILING ADDRESS IZj <br /> .G /1!� /� L /C e-1d <br /> r m <br /> 0 <br /> PROPERTY ADDRESS jOe bs �e r, w, <br /> yCrd- 7� r7t'�s7Z' Jy,37S'y8 ,y,o,>ticzcco U <br /> LEGAL DESCRIPTION(see tax receipt) 1 <br /> S�� Ty0 Ri7W ZZ Ac/`c< 2-y0 -I7-d�.S �r <br /> p � <br /> DWELLING/BUILDING ❑ GARAGE/ACCESSORYSTRUCTURE ADDITION ❑ '�>ty 0 <br /> TYPE OF PERMIT(S): Rr <br /> 0. <br /> FILLING/GRADING ❑ CAMPINGUNIT ❑ /SUBDIVISION El S. <br /> STRUCTURE/ADDITIONUSE: %!PWy4f' '4e,t / j14?&c e jt�,-a`Kge- 00/X ° p <br /> (Home/Cabin; Commercial Business; Bed oom; Deck;etc.) ( <br /> BUILDING CONTRACTOR: <br /> � rb <br /> m <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8'h X 11 SHEET OF PAPER. ANY INCOMPLETE OR T <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. vN <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) a <br /> ?1 o z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. m m 9 <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE rn o <br /> NORTH(N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO m v <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. ° <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. N 1 <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER,CONTRACTOR, ETC.,THE PLANS 20, <br /> MUST BE SIGNED AND DATED BY THE OWNER. ° <br /> o � <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN <br /> NEEDED. <br /> z <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. P <br /> CONDITIONS OF PERMIT: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT ` <br /> ISSUANCE. <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 /> SETBACK AREA. <br /> 5. m W �c0 CL <br /> r,�p o.C n �i a,p <br /> 6. o m w w y g <br /> 2 <br /> 7. O i i m <br /> �� i i <br /> 1 declare that this application (including any accompanying schedule)has been examined by me and to the best of my 0 <br /> O <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of n <br /> O: <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize m m <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- <br /> sue a permit. I further accept all liability which may be a result of the County of Burnett relying on this information 1 am <br /> providing in this application. I agree to permit county officials charged with administering county ordinances or other o <br /> authorized personJ2 have access to the above described premises at any reasonable time for the purpose of Inspection. T o <br /> m m <br /> CD <br /> -71 fi <br /> SIGN HER <br /> (sl a re of own r ilding contractor) (date) ` ^ <br /> v 1 i <br /> ZONING ADMINISTRATOR40 <br /> oiocNi+ oo <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br />