Laserfiche WebLink
Burnett County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator -U o 0 <br /> APPLICATION FOR LAND USE PERMITS 3 b <br /> r <br /> y�n N � <br /> OWNER J E A N N E Iyl • JOYCE TELEPHONE 7/S - G 3 S- 3 5 8 8 0 �: C�y <br /> MAILINGADDRESS $yK ES R p . / 5 POO"ER VV/ ST &0 <br /> 0 m <br /> 0 <br /> PROPERTY ADDRESS S A rA E t ~ <br /> LEGAL DESCRIPTION(see tax receipt) 0 6-L <br /> 2 <br /> DWELLING/BUILDING ❑ GARAGEIACCESSORY STRUCTURE ADDITION ElN O <br /> TYPE OF PERMIT(S): Q = <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION ❑ a <br /> STRUCTURE/ADDITION USE: GA K A L E x n o <br /> (Home/Cabln;Commercial Business;Bedrkom; Deck;etc.) m <br /> BUILDING CONTRACTOR: J A C K r12 A Z t E IS H E D S iV S HA c KS. <br /> v <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR -n 3. <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. <br /> y <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) O n <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. n m A <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m F <br /> NORTH(N). N o <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. I, <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC., THE PLANS 0 <br /> MUST BE SIGNED AND DATED BY THE OWNER. �` o F <br /> � v = <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN <br /> NEEDED. i <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. �� �� ���z o <br /> CONDITIONS OF PERMIT: ^ <br /> nn r r7 Z `> <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAIS OF P£IR T <br /> ISSUANCE. q <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALO �LINE. <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICAL'L�QV7-rPER (/p/ (1� <br /> CO <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE EQU�K�'MV1411 <br /> SETBACK AREA. <br /> 5. <br /> This structure to be used as private residential M d Iu> o a v v <br /> 6. garage/storage only. Not to be used for human $. 3om c <br /> n N N a I 3 <br /> o = <br /> habitation. Z y ; o <br /> z0 T'z m <br /> declare that this application(including any accompanying schedule) has been examined by me and to the best of my G) c C <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of m <br /> n F» <br /> � : cn : M <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize m o my <br /> that this information 1 am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- <br /> sue a permit. 1 further accept all liability which may be a result of the County of Burnett relying on this information I am m : <br /> providing in this applic ion. I agree to permit cougly officials charged with administering county ordinances or other o <br /> authorized person to h#Ve access to the above desoibed premises at any reasonable time for the purpose of inspection. fD c <br /> 9 as <br /> SIGN HERE <br /> CL : <br /> (signature nob tractor) J te)q <br /> ZONING ADMINISTRATOR <br /> It 2337 0 N N O O <br /> TO NSHIP PERMITS MAYBE REQUIRE J Pn `1.a co <br /> 11�`/VVrI Q(T O (T (n O O <br /> -a <br />