Laserfiche WebLink
Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator y 9 0 <br /> APPLICATION FOR LAND USE PERMITS g . <br /> = w <br /> OWNER {`��Inn LTELEPHONE f7/5—Lqg3- 'D4G = \ <br /> q J <br /> MAILING ADDRESS <br /> 233rd <br /> 2J3ri & / ushlr4 5 OJ(0 <br /> PROPERTY ADDRESS 11754 /[-Wmbl' A1?d <br /> LEGAL DESCRIPTION <br /> TYPE OF PERMIT(S): ElDWELLING/BUILDING ❑ GARAGE/ACCESSORY STRUCTURE❑ ADDITION STAIRS I^ � <br /> FILLING/GRADING ❑ <br /> CAMPING UNIT 0 BUNKHOUSE <br /> o059.692(1V)GAZEBO ❑ DECK❑ <br /> STRUCTURE/ADDITION USE: , 6h O no /) n/^rbornSa <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) d( n �z <br /> Q <br /> o O <br /> BUILDING CONTRACTOR: <br /> r 'O <br /> 0 <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 'h X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS <br /> WILL BE RETURNED. W Iw <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) o <br /> a <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NEW y u <br /> BUILDINGS/STRUCTURES (NB),INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH (N). y <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK ww 9 <br /> (OHWM)OF 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 r z pp '� <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. N <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. n o lQ�'T-- <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER,CONTRACTOR, ETC.,THE B <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. n a 6Q)1t <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: g v <br /> m <br /> 3' <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. n � <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. ? ^ n <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER \ <br /> SETBACK AREA. <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. <br /> ., ;o m R <br /> 7. <br /> n <br /> 7 °w °aw r� <br /> I declare that this application(Including any accompanying schedule)has been examined by me and to the best of my knowledge 2 y y <br /> and belief it Is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all Information e <br /> contained In this application(including any accompanying schedule)and I further declare that I recognize that this Information I Y <br /> am Providing will be relied upon by the County of Bumett Wli mnsin in determining whether to Issue a permit I further accept all > w2! <br /> liability that may be a result of the County of Burnett relying on this Informabon I am providing In this application. I agree to n �8 `^ 8 r <br /> permit county officials charged with administrating my ordinances or other authorized person to have access to the above- e <br /> describedI s at any reasonable time for the u ose of inspe <br /> SIGN HERE <br /> n <br /> (signature of owner or building contractor) (date) <br /> ZONING ADMINISTRATORm n <br /> TOWNSHIP PERM MAY BE REQUIRED a <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE V GU 8 N o <br /> ��cked up bV f eh. Ile 1,4+11 5-Ib-bb <br />