Laserfiche WebLink
Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator _ Z. <br /> APPLICATION FOR LAND USE PERMITS = UI <br /> OWNER TELEPHONE v <br /> d <br /> MAILING ADDRESS <br /> PROPERTY ADDRESS <br /> z9399 'f �,7/R/ !✓ <br /> LEGAL DESCRIPTION 7, ID�y G ✓x^+ y r `!J ry'l�l�� ki!'��.,e�x <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ADDITION El DECK GARAGE/ACCESSORY STRUCTURE 11 <br /> BUNKHOUSE 0 59.692(1V)GAZEBO 0 STAIRS 0 FILLING/GRADING 0 CAMPING UNIT 0 <br /> o <br /> COMMERCIAL BUILDING 0 COMMERCIAL ADDITION 0 COMMERCIAL ACCESSORY STRUCTURE 0 - <br /> Z <br /> STRUCTURE/ADDITION USE: 1/0 <br /> / /(Home/Cabin;Commercial Business; Bedroom;Deck;etc.) <br /> BUILDING CONTRACTOR: <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 1/2 X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS r <br /> WILL BE RETURNED. ^ <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIALORTOPWEW) c vr � <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. - <br /> 2. SHOW THE LOCATION AND SIZE OF ALL E)USTING BUILDINGS/STRUCTURES(EB)AND ALL NEW O o <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH(N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S) p`rf <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS. 1 <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES G. CO <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. T -C <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. _ <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER, BUILDER,CONTRACTOR,ETC.,THE C O <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. � - 1 <br /> 1 <br /> THIS PERMIT IS SUBIECT TO ALL CONDITIONS LISTED BELOW: <br /> 1. 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. <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 /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HyMAN HABITATION. <br /> 7. See U is <br /> 333 <br /> I ow[ geandb Befiapplt (including any andmmpleW. Iacknchedule)hat been Iamraaminedbymeandt it.edestofmy o j <br /> knowledge and belief itis Vue,correet and complete. 1 acknowledge Mat 1 am responsibk ror Ne detail and axuaq of all , F- >= > <br /> informatloncontained in this application(including any accompanying schedule)and I furtherdeclare that I reco,miretha[this _ > AN{ ' <br /> information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to issue a permit 1 _ Z <br /> further accept all liability Nat may be a result of the County of Burnett relying on this information I am providing in this _ <br /> application. I agree to permit county officials charged with administrating county ordinances or other authodoed person to ^ N� 8 <br /> have access W the abb time for e purpose of inspection.above-described premises at any reaso th5 R � f1 <br /> n A''/P � � iw�u <br /> OWNER'S SIGNATURE tic"'4' / 3 ; g S o g1 <br /> ZONING ADMINISTRATOR - d/ \ <br /> JUL 18 2013 e g m <br /> TOWNSHIP PERMITS MAY BE REQUIR = <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OBUEL+OUNn, <br /> ZONING a o 0 4 <br />