Laserfiche WebLink
Burnett County 7410 Co. Rd. K, No. 102,Siren,WI 54872 Office of Zoning Administrator _ 0 0 <br /> APPLICATION FOR LAND USE PERMITS 3 <br /> 0 (� , <br /> y <br /> C <br /> OWNER Lvj TELEPHONE gloll?.-44 t-}'4 n �1 <br /> MAILING ADDRESS ` o �jy` - 0 6 /[� �Cj� O <br /> F <br /> 1 0 <br /> PROPERTYADDRESS <br /> X33L T1yh; 9-JJo1�J 7tofDtAb+f", Aw�WL�„ti1 <br /> LEG"DESCRIPTION(seetaxreceipI) ro,,t)1 W� I C)m 0,31 yok 1 �? �-y�R �U( 16xt�� � to <br /> m <br /> DWELLING/BUILDING GARAGE/ACCESSORY STRUCTURE ADDITION ❑ ��f WP0 CO O <br /> TYPE OF PERMIT(S): J C <br /> FILLING/GRADI ❑ CAMPING UNIT ❑ SUBDIVISION ❑ rJW I n <br /> rc 1 1116 ow —.130jg -04 /6'Q Is.<_ <br /> STRUCTURE/ADDITION USE: �.�/ J- . � „ o <br /> me/Cabin;Commercial Business/'Seedroom;Deck;etc.) C <br /> w W <br /> BUILDING CONTRACTOR: Vlvj <br /> m <br /> � � 1 <br /> v <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR � <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. O G <br /> z N O <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) p <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. n <br /> 2 SHOW NORTH(NE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE C <br /> 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 <br /> LAKE,STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. Z <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES TO /,I <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, CONT R ETC.,THE PLANS N <br /> MUST BE SIGNED AND DATED BY THE OWNER. �: 'c <br /> W o <br /> 1/�j o <br /> Uj <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICA ON MA � C r o� <br /> NEEDED. S n 2 <br /> ��r `V <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. I ,' a <br /> CONDITIONS OF PERMIT: BURN 1?�� <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT Er (� <br /> ISSUANCE. 2ON� ��n 7-Y J 1 <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. NG <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY t^ <br /> PERMITTED. �+y <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> 6. <br /> m o d> O nD 0 -V <br /> 3 'amxE (5 � <br /> 7. CD 0 0 S 3 <br /> Z 'ten N o - � n -1 <br /> �l Q <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the best of my —�' A <br /> O c' <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of o, n : d, C <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize C ; o m <br /> that this information I am providing will be fed upon by the County of Burnett Wisconsin in determining whether to is- v <br /> sue a permit. I further accept all liabili which ay be a result of the County of Burnett relying on this information I am m <br /> providing in this application. I agree permit ounty officials charged with administering county ordinances or other m <br /> authorized perso ave access to t above s d premises at any reasonable time for the purpose of inspection. m <br /> T O <br /> SIGN HERE t» <br /> n(signre oft77 <br /> or wilding contractor) . . (date) <br /> n <br /> ZONING ADMINISTRAT rV^, <br /> N N N N O O <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> � � 0� � 00 <br />