Laserfiche WebLink
b <br /> o <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator a - <br /> / APPLICATION FOR LAND USE PERMITS : <br /> OWNER ! ��7 \ TELEPHONE 2 �u_1�G 2:J v. 7003( <br /> �J � ... <br /> VO <br /> MAILING ADDRESS 5503-7 <br /> PROPERTY ADDRESS <br /> LEGAL DESCRIPTION SDS. _ TLA <br /> TYPE OF PERMrr(S): SINGLE-FAMILY DWELLING 0 ADDITI/ONQ DECK 0 GARAGE/ACCESSORY STRUCTURE 0 <br /> BUNKHOUSE 0 59.692(1V)GAZEBO 0 STAIRS 0 FILLING/GRADING 0 CAMPING UNIT EI , <br /> v <br /> COMMERCIAL BUILDING 0 COMMERCIALL ADDITION 0 COMMERCIAL ACCESSORY STRUCTURE 0 <br /> STRUCTURE/ADDITION USE: r\� I ' �i� �aI — � I <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) CTT <br /> BUILDING CONTRACTOR: <br /> O � <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Yz X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS O o <br /> WILL BE RETURNED. <br /> 6 <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) a o <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 3 <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, C> <br /> AND INDICATE NORTH (N). z <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) O $ <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK 5 d <br /> (OHWM) OF LAKE,STREAM OR RIVER AND WETLAND AREAS, AND (D) LOT DIMENSIONS. 'I d <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK (ST)AND DRAINFIELD (DF), AND ALL DISTANCES qj q <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. I N <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. W <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC.,THE £ W <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. Q- <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: P ^ N <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. o 9 'p <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 O' <br /> SETBACK AREA. —� <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. O <br /> NOT TO BE USED FOR HUMAN HABITATION. Cr <br /> 6. o <br /> 7 �g D 9 <br /> r] r] f� C10 ro <br /> �,' o � go3rti. <br /> I declare that this application(Including any accompanying schedule)has been examined by me and to the best of my <br /> knowledge and belief R Is true,correct and complete. I admowledge that I am responsible for the detail and accuracy of all a m <br /> Information contained In this application(Including any accompanying schedule)and I further declare that I recognize that this c— a n m¢+ y <br /> Information I am providing will be relied upon by the County of Duo ett Wisconsin In determining whether to Issue a permit. I S 2 a w v ro <br /> further accept all liability that 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 administratin county ordinances or other authorized person to have 8 0 8 �, <br /> access to the above-described premises at any reasonable time for the purpose of Inspection. Y ^'w o o"' a <br /> nn <br /> Sg oSy <br /> OWNER'S SIGNATURE c i <br /> HLP3 E _ Z <br /> ZONING ADMINISTRATOR <br /> m m 5 <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF COUNTY N 8 0 0 0 8 <br /> v m i P4 1 e+4-e v- rlw i to 1.) Flan bbh n ZONING <br /> a-aa-I l <br />