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. <br /> r <br /> UT O <br /> N <br /> C <br /> (D <br /> CL <br /> OWNERQ� yyv� TELEPHONE q52-431 -�(I V <br /> +� f <br /> MAILING ADDRESS 14382 <br /> r <br /> 0 <br /> PROPERTY ADDRESS <br /> LEGAL DESCRIPTION(see tax receipt)((6U. LDI 5 G�l `?J -`W N �� CD <br /> DWELLING/BUILDING ❑ GARAGE/ACCESSORY STRUCTURE ADDITION ❑ to ° <br /> TYPE OF PERMIT(S): Q <br /> FILLING/GRADING <br /> D �C.AMPING UNIT 11 SUBDIVISION <br /> ❑ a <br /> STRUCTURE/ADDITION USE: (`i ��—Acae -A'V0 VT I OI`V <br /> (Home/Cabin;Commercial Business;Bedroom;Deck;etc.)) to t�, <br /> BUILDING CONTRACTOR: 6A2-L5CIV\J N c- 1'-►�'�i✓1 ? F�— <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR m 3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. p <br /> it N <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) OT a G <br /> '—i o Z 6„ <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. m <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NS)AND INDICATE <br /> NORTH(N). N OE, <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO m a V <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. I ? ` <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. J Q <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. N <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC.,THE PLANS 0. <br /> MUST BE SIGNED AND DATED BY THE OWNER. oO o E ) <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATIO_ HEN Q-C"j <br /> NEEDED. /,::moi ' ,:r ,j LU <br /> 2 .[ <br /> / <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. Zp <br /> CONDITIONS OF PERMIT: `y <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PEI H! 2003 / <br /> ISSUANCE. Rai Err <br /> 2. REMOVAL OR OF TREES AND3. NO GRADING OR NG SHIO ELAND ALTERATIONS AREI ON ALLOWEDTRICTED UNLESS SPEC FICALALONGRYLINE. ZON'NG`�rW� <br /> l <br /> PERMITTED. <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER II <br /> SETBACK AREA. t <br /> s. This structure to be used as private residential p 0 r-,> O D 0 -0 <br /> CD 000 MOnfm <br /> 6. garage/storage only. Not to be used for human 8 3 a H N z <br /> habitation. z HC o : a 3 <br /> 7. ° n'< : M <br /> Inn <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the best of my c C_ <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of m n v� <br /> CL N : <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize m o m0 <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- <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 <br /> P 9 � PP� 9 Pe tY 9 9 tY <br /> authorized person to have access to the above described_Rjan2Lsps at any reasonable time for the purpose of inspection. `D o <br /> CD m <br /> SIGN HERE ° <br /> a : <br /> (sig u o buil ac or) (date) <br /> ZONING ADMINISTRATOR <br /> (� f/1 fA 69 fA 0 N <br /> (^ ^ ' ^ / �I C" 0 N N OO <br /> TOWNSHIP PERMITS MAY BE REQUIRED /I gCIg &CG <br />