Laserfiche WebLink
Burnett County 7410 Co. Rd.K, No. 102,Siren,WI 54872 Office of Zoning Administrator - o 0 <br /> APPLICATION FOR LAND USE PERMITS 3. IC <br /> N <br /> ONMERC, TELEPHONE S,Z3?j-7-3 �7 0 <br /> d <br /> MAILING ADDRESS P,D. M/�I <br /> ��3 <br /> -con AIN <br /> �'�+ <br /> PROPERTY ADDRESS <br /> LEGAL DESCRIPTION(see tax receipt) "� C..IS'M V ib Pl64 &o Lot 1 S 29 rqa P rl CDOcn <br /> DWELLING/BUILDING ❑ GARAGE/ACCESSORY STRUCTURE � ADDITION ❑ I\/ �"Dwnof. U) o <br /> TYPE OF PERMIT(S): LI V14 V � a � <br /> FILLING/GRADING ❑ CAMPING UNITE] ❑ <br /> SUBDIVISI �c / (ET— <br /> '(Home/Cabin; <br /> STRUCTURE/ADDITION USE: . Aj—tit i Q-- -3 Lan`XyD r rl( &4 _S r i Crt,(ET ; <br /> (Home/Cabin;Commercial Bu iness;Bedroom; Deck;etc.)U (n <br /> I ' <br /> BUILDING CONTRACTOR: C001 I <br /> ♦Vet t11� Ik.G of'3 `•IA9c. <br /> v <br /> CD <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR 3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. p C <br /> XI m C <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) O n <br /> -nZ <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. m o <br /> 2 .SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE <br /> NORTH(N). y <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO M ^ -30 <br /> CENTERLINE OF ROAD,(C)BUILDING(S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF Z <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 <br /> BUILDINGS,ROADS,LAKE, LOT LINES. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. 0, N <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC., THE PLANS <br /> MUST BE SIGNED AND DATED BY THE OWNER. 0 <br /> v 0 <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN 0 <br /> NEEDED. R <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. o <br /> CONDITIONS OF PERMIT: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT J <br /> ISSUANCE. p <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. t� <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. 1 ` t 2l <br /> 6. m mnric>i0CD aO -0 <br /> This structure to be used as private residential ); a n 2 x n � <br /> 6. O garage/storage only. Not to be used for human ^Z ° C" y - ' 3 <br /> y p <br /> 7. habitation. <br /> M <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the best of myC <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of W 0 : v+ Ta <br /> M 0 <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize s m M : o my <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- V <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 m <br /> providing in this application. I agree to permit county officials charged with administering county ordinances or other ao <br /> authorized person to have access to the above described premises at any reasonable time for the purpose of inspection. m <br /> T <br /> o : <br /> N <br /> SIGN HERE <br /> (si atura f own r build- g co tractor) (dare) CL <br /> ZONING ADMINISTRATOR G <br /> JI (fl fA(A to N <br /> VVV N(J N N O O <br /> NOfT (TOO <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br />