Laserfiche WebLink
Burnett County 7410 County Road N. No. 102, Siren,WI 54872 Office of Zoning Administrator g 2 C <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNER TELEPHONE <br /> PROPERLY ADDRESSX75 HY /fie; i.Z Rel . L✓P h S 71-c i L/ ' '� o <br /> C Gr Le ! d <br /> LEGAL DESCRIPTION <br /> 1. <br /> n116 RL.elC L K,.Ibeckr< S..bd',;s•a„ see 33 rva NR /b l'✓ _ , <br /> / ..J. burn e>YCJ, <br /> MAILING ADORE65275frrr nP f Rd We6,j /er W,' S'1 t? 93 <br /> TYPE OF PERMIT(S): 4 300`0 <br /> )(Single Family Dwelling ❑ Garage/Accessory Structure ❑Stairs ❑Commercial Building 5 <br /> ❑ Addition ❑ Bunkhouse ❑ Filling/Grading ❑Commercial Addition .� <br /> (7 Deck ❑ 559.692(ly)Gazebo ❑Camping Unit ❑ Commercial Arc.Structure <br /> STRUCTURE/ADDITION USE: A/c,m <br /> (Horne/Cabin:Carnrtueroal Business,eetlroan;Deck;etc.) <br /> /� A <br /> - BUILDING CONTRACTOR:L a 9, �5 t/ej2 JC& ❑ _ <br /> (r <br /> PLOT PLAN---INCOMPLETE OR ILLEGIBLE PLOT PLANS WILL BE RETURNED. a <br /> ***REQUIRED PLOT PLAN INFORMATION*** r. T 3 <br /> ❑ 8%"X Il"SHEET OF PAPER DISTANCE(IN FEET)TO: a <br /> ❑ DRAWN TO SCALE OR DISTANCES LABELED ❑ WELL <br /> ❑ PROPOSED BUILDING/STRUCTURE LOCATION ❑ SEPTIC TANK&DRAINFIELD <br /> iDimensions&Heights Cl ROAD RIGHT-OF-WAY IF SURVEYED <br /> ❑ EXISTING BUILDINGS/STRUCTURES(Includes deck, porch,etc.) 4CENTER❑NE IF NOT SURVEYED '-. <br /> 4Dimensions&Heights ❑ ALL PROPERTY LINES <br /> ❑ NORTH ARROW ❑ ORDINARY HIGH WATER MARK S. W <br /> ❑ ALL WETLAND ARES w (� <br /> i <br /> NOTE: Bluldirg/strucare location must be staked for ons[e vaiRration when needed. 9 I 1 <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: I .1 <br /> • Removal or cutting of frees and vegetation is restricted along shoreline Cy <br /> • No structures(induding retaining walls,etc.)are allowed unless specifically permitted <br /> • No filling,grading,or store and afternoons;are allowed unless specifically permitted <br /> • Driveway must meet width requirements within 60 clays of permit <br /> • Kreswy sbucturggarage permits allow far pivate residential storage Only z <br /> "Not to be used for human habitation Or rental storage" <br /> I declare that this application(including any? ,= ying sdoeduse)has been examined Ey me and to Ne t�of my knowledge add _ <br /> belief it is bud,mrrert and compote. I xAlrowledpe that I am responsible for the detail and accuracy a all information conbilrcd in <br /> this application(iaduding any a®rrlpnwing sdl¢dule)am I further d m that I modpor m that this information pwi eld will he <br /> relied upon by the County of Barnett Wisconsin in determining whether to Issue a permit. I further accept all liability that may M a <br /> rerun of mer County of Bumett mlyim an this Information I am providing in this application. I agree N meant county officials duaged <br /> with adminisbating county ordilunces or other ant orrsed persons to lame access N the shove-demibed premius at any immoderate <br /> time Lor Ne W Tose o1 inspection. <br /> n +r > n �s =gi <br /> —ADDITIONAL CO tN�D/ITION/S-- (('' / / / M <br /> Sei'iouES TDY loke, roc O/# 10111 eS (�E� U� 3 c d o- <br /> must be �Ie D EC <br /> �l <br /> Q No -C/'// i/� or 7raa O l 5+6 9re4lu' #6 Z09o. JUL 2 B 2014 <br /> OWNER'S SIGNATURE <br /> l L•Il// L t / BURN6T'Y-QOWMN _' <br /> / xnF <br /> ZONHdfL - � <br /> ZONING OFFICUL �ti.-r-e--�..-• 7�31��/� N ,5, : <br /> IT— (date) _ C : .a <br /> a�TOWN/UOC PE MITS EQUIRED *'THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE - <br /> You are responsible for complying with state and federal laws co rng construction near Or on wetlands, lakes, aro Streams. ` <br /> Wetlands that are not associated with open water can be df colt to Identify.Failure to comply may result In removal or modlficadon $' <br /> of construction that violates the law or other penalties o,costs. For more information vis[ the Department of Natural Resources r <br /> wetlands idenbficabon web page or contact a Oeparbnent of Natural Resources service center. o <br />