Laserfiche WebLink
z� <br /> Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator = IrW <br /> APPLICATION FOR LAND USE PERMITS oF� <br /> OWNER / 1 TELEPHONE <br /> MAILING ADDRESS /jQj�rQ )/�L{ ) /� / ^^ _ n-}T {{{;_"l ((�'}-� 1 f 1 N <br /> PROPERTY ADDRESS 7A/ <br /> LEGAL DESCRIPTION +i 4� 1,ed <br /> TYPE OF PERMITS): SINGLE--FAMILY DWELLING❑ ADDITION❑ DECK 0 GARAGE/ACCESSORY STRUCTI RE 2 L <br /> BUNKHOUSE ❑ 59.692(IV)GAZEBO C STAIRS 0 FILLING/GRADING❑ CAMPING UNIT❑ 0 <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION 0 COMMERCIAL ACCESSORY STRUCTURE❑ <br /> STRUCNRE/ADDITION USE: YU L IrS&'yj ! e <br /> (Home/Cabin;Commercial Business; Bedroom; Deck; etc.) <br /> BUILDING CONTRACTOR:::_311elffujil IO/-9144411t'f <br /> `z `< <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8'/z X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS _ <br /> WILL BE RETURNED. _ d <br /> r <br /> DIRECTIONS FOR PLORED DIMENSIONS <br /> DRAIONS OR DI (A CES O TOP VIEW) <br /> I. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR <br /> BUILDINGS/STRUCTURES DRAWN SCALE. <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EG DEC S ORCHANDOTHES (EB)AND ALL NEW p o <br /> BUILDINGS/STRUCTUREN(NB),INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH(N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)THE TO ALL LOT LINES,(B) BUILDING(S) ? n <br /> TO CENTERLINE , ROAD, OR BULLRING MEASUREMENTS)TO THE ORDINARY HIGH WATER MARK <br /> (OHW T OF LAKE, STREAM OR WELL <br /> AND WETLAND AREAS,AND(D) NFI DIMENSIONS. <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. <br /> S. INDICATE IF A WALKOUT BASEMENT ISB PLANNED AND SHOW AREAS TO LD GRADED RA FILLED. p ` <br /> 6. IF SEPARATE PLANS ARE AND DATED BY AN ARCHITECT, ENGINEER, BUILDER,CONTRACTOR,ETC.,THE <br /> PIANS MUST BE SIGNED AND DATED BY THE OWNER. kJ ( � Y <br /> Q _ d <br /> NOTE: BUILDING/STRURURE 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 /> L DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. - 'v <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. w <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. '- <br /> 9. NO STRUCTURES,INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER g <br /> - <br /> SETBACK AREA. _ <br /> 5: ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. _ <br /> 6. <br /> 2. > n r, nn > c � <br /> I declare that this a application(including an schedule has been examined b <br /> Pv true,co 9 y mplete. I ack ) Y mthe d ta[M1 nd ac ura y <br /> knormatiowledge and belief itthisa correctandUnduslingay acknowledge Hatlam )andI urtheble r thedetailthtIrecognize thof at <br /> information Iamcontprodingwill be relied upon by the County <br /> of Burnt Wisconsin In determining <br /> whether <br /> that issue azermit. I _ = > a $ ; <br /> Further accept <br /> am providing will a relied result <br /> by the County f Burnett <br /> relying <br /> n this a formatio wM1m providing <br /> i a permit [ - <br /> furtheation. [a agree <br /> liability h Mat may be a result of Me County d Burnett relying Rn this information Don t am provitlinq perso <br /> application. ta9ree to permi[rounly Rfficialscha MwiN ad abating countyoNinanceso erauMorized perwnN _ > <br /> have access to the above-Oestri premises a[a reason time for[M1e Purpose of inspect ° n <br /> OWNER'S SIGNATURE S - <br /> ZONING ADMINISTRATOR `- 'lam JUN '3�' 7 r <br /> T <br /> TOWNSHIP PERMITS MAY BE REQUIRED BURN <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUING UMY <br />