Laserfiche WebLink
tRto* <br /> Burnett County 7410 Go. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator _V c, Z <br /> APPLICATION FOR LAND USE PERMITS 3 <br /> r A, <br /> rn o <br /> OWNER Av10 Jp�ICj G `6lCD <br /> I r'l0.yr � TELEPHONE -71 S-4 3a-2 3 9 0 0 <br /> v <br /> O <br /> MAILING ADDRESS 1970 t�air�bo.0 R�aJ Spooner WI SYBUi-89o'L � � <br /> PROPERTYADDRESS � 1 70 kq i n bow R c>q d, S Pooen� wl S y861- 8 J oz w o <br /> ?"rt CSM V -Z f I S 2 JAI Gcv i o"T y <br /> LEGAL DESCRIPTION(see tax receipt) 5 3 T 3cJ R 1 L( E.Y Prt QSniY S P tl r 12I;U 6-&,; LcT <br /> J <br /> DWELLING/BUILDING ❑ GARAGE/ACCESSORY STRUCTURE ❑ ADDITION ® 0 <br /> TYPE OF PERMIT(S): Q� c <br /> FILLING/GRADING 1:1CAMPING UNIT 1:1SUBDIVISION ❑ l a <br /> STRUCTURE/ADDITIONUSE: Addy-4ah home o ' <br /> (Home/Cabin; Commercial Business;Bedroom; Deck;etc.) to <br /> m <br /> BUILDING CONTRACTOR: O n de c)-J e d <br /> m <br /> v <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 81/2 X 11 SHEET OF PAPER. ANY INCOMPLETE OR CD <br /> 3 (O <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. m <br /> O <br /> N ^ <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) O <br /> CD \1 <br /> T a Z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. n co Z <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m <br /> NORTH(N). c n <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO m 3 <br /> CENTERLINE OF ROAD, (C)BUILDING(S) MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF 'o <br /> LAKE, STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. o <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES TO O <br /> BUILDINGS, ROADS, LAKE, LOT LINES. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. N <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC., THE PLANS 0 .L <br /> MUST BE SIGNED AND DATED BY THE OWNER. o I <br /> f <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN 0 uJ <br /> NEEDED. _. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. o Ut <br /> CONDITIONS OF PERMIT: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT <br /> ISSUANCE. O <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. <br /> Addition allowed to existing home meeting all required setbacks and sanitary requirements. m m m > o Da o -V <br /> 6. = — <br /> Any additions or use changes to the non-conforming rental units would require approval by the Zoning Committee or z m o N N 3 <br /> 7. the Board of Adjustment. o (D <br /> 71,2 <br /> 1 declare that this application (including any accompanying schedule) has been examined by me and to the best of my G) ID <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of d n in e <br /> all information contained in this application(including any accompanying schedule)and I further declare that 1 recognize C o 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 I am d <br /> providing in this application. I agree to permit county officials charged with administering county ordinances or other iu <br /> authorized person to have access to the above described premises at any reasonable time for the purpose of inspection, fD ; s <br /> -n o : <br /> CD M <br /> m <br /> SIGN HERE HCl �J <br /> (signature of ow r di actor) (date n <br /> i <br /> ZONING ADMINISTRATOR ��{j 2, 00,21 <br /> fA un EJ fA 0 N <br /> N N N N O O <br /> T O N cn O O <br /> TOWN HIP PERMITS MAY BE REQUIRED <br />