Laserfiche WebLink
Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator ro c <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNER q��..t- {?��y p/��, �n TELEPHONE&S <br /> MAILING ADDRESS 201so <br /> PROPERTY ADDRESS /�� <br /> 2 D�J7 I �l�r�'S2 �O c nf' l�i'�zn-�5btc r-�e bo/ <br /> ZoT N(9g�unn�iP iotaGi► In &aJ. lo+ 3, �¢.cna. 24 ur,� MA <br /> LEGAL DESCRIPTION p� �ap O �37 � <br /> g <br /> SINGLE FAMILY DWELLING ❑ GARAGE/ACCESSORY STRUCTURE ❑ ADDITION 0 STAIRS ❑ <br /> TYPE OF PERMIT(5): ^ <br /> FILLING/GRADING ❑ CAMPING UNIT❑ BUNKHOUSE ❑ 59.692(IV)GAZEBO ❑ DEC <br /> f <br /> STRUCTURE/ADDITION USE: CR QJI Nallz 1-7 <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) r o <br /> BUILDING CONTRACTOR: <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8%X11 SHEET OF PAPER. ANY IN60 OR ILLEGIBLE PLOT PLANS <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. O <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NEW o <br /> BUILDINGS/STRUCTURES(NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, m 'v <br /> AND INDICATE NORTH (N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDINGS)TO ALL LOT LINES, (B) BUILDING(S) n <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK 9 <br /> (OHWM)OF LAKE, STREAM OR RIVER AND WETLAND AREAS,AND(D) LOT DIMENSIONS. N 19 <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK(ST)AND DRAINFIELD (DF),AND ALL DISTANCES <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. b c <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER,CONTRACTOR, ETC.,THE <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. A G) <br /> .3 <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED, 7 <br /> THIS PERMIT IS SUBIECT TO ALL CONDITIONS LISTED BELOW: J <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. +Pc A I <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. c, <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. l <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER �0 <br /> SETBACK AREA. O <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. a <br /> NO/7)TO BE USED FOR HUMAN HABITATION <br /> /"rtTM <br /> 6. �(GtYGR �Qr �� 'Y30 �Scree' Afs4 6'i ✓ �� <br /> P 7y an1Fa 'M <br /> 7. m A n a t11 <br /> 94 <br /> I declare that this application(Including any accompanying schedule)has been examined by me and to the best of my knowledge m <br /> and belief It Is true,correct and compM <br /> complete. I acknowledge at i am responsible for the ddmfl and accuracy of all Information 1 o e <br /> contained In this application(including any accompanying schedule)and 1 further declare that I recognize that this Information I <br /> am providing wig be railed upon by the County of Burnett WLscorsin in determining whether to Issue a permit. I further accept all <br /> liability that may be a result of the County of Burnett retying on this Information I am providing In this application. I agree to 8 r <br /> permit county officials charged with administrating county ordinances ar other authorized person to have access to the above- <br /> described premises at any rejRonaVe time for the purpose of Inspection. <br /> OWNER'S SIGNATU c a � k,D 7 <br /> /A (date) yr : g a <br /> ZONING ADMINISTRATOR <br /> M <br /> 8 5. : <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROA4 DATE OF ISSUANCE 8 U o <br /> , (� vL [ l e-d fD t re be CC,, (Sohn , -G <br />