Laserfiche WebLink
Burnett County 7.410 Co. Rd. K, No. 102,Siren,WI 54872 Office of Zoning Administrator " o° o <br /> APPLICATION FOR LAND USE PERMITS . <br /> F Jam/ <br /> IS- 76� - gLl.1'4 L.0 o0 <br /> (� oz> <br /> OWNER IVf /j-0 `1 t-'�V) 7, TELEPHONE 5a a <br /> - If X3—"703 1 3oI. w :< <br /> MAILINGADDRESSIS77le YA1'E'` N � � f <br /> m <br /> PROPERTY ADDRESS <br /> Lo7- S <br /> LEGAL DESCRIPTION(see tax receipt) Lot.2 C 5/h A/0, i 390 ✓w . 69- 67 XIV 6,011. � � c <br /> DWELLING/BUILDING GARAGE/ACCESSORY STRUCTURE ❑ ADDITION ❑ cn <br /> TYPE OF PERMIT(S): Cr <br /> FILLING/GRADING ❑ CAMPING UNI ❑ SU DIVISION Ela <br /> i �/ <FA <br /> STRUCTURE/ADDITION USE: LOL 6 i ✓1 I� k <br /> (Home/Cabin; Commercial Business; Bedroom; Deck;etc.) U) C1 <br /> 1 m <br /> BUILDING CONTRACTOR: Ala w e ��w n c f 1 in <br /> v <br /> m <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 81/2 X 11 SHEET OF PAPER. ANY INCOMPLETE OR 3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. p " /�D/�� <br /> N I' <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) 0 a <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. n m v D <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m fD <br /> NORTH(N). y 3 <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO M Du c <br /> CENTERLINE OF ROAD,(C)BUILDING(S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF <br /> LAKE,STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. 1 S /^ o <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES TO DO O <br /> BUILDINGS,ROADS, LAKE, LOT LINES. In ` <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. C' N JV <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER,BUILDER,CONTRACTOR, ETC.,THE PLANS 0 00 <br /> MUST BE SIGNED AND DATED BY THE OWNER. o f <br /> v � <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFI , `Nf�tD 5$ {)QNE WHEN o <br /> NEEDED. �j 5�>/ <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. l ! o <br /> CONDITIONS OF PERMIT: JUN <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OFQ�¢��T, 20 ISSUANCE. %�j oa <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHO``R''ELLIte CO -�� t/`r <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY �/NC-T v��7 1" <br /> PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> 5. ry� m 0r- > > 0V <br /> CL M <br /> 6. m Samx ° m � <br /> a m c y o 7+ <br /> 7. Z w W 0 <br /> ° '1 m <br /> I declare that this application (including an accompanyingschedule has been examined b me and to the best of m _�` D <br /> PP (� 9 Y ) Y Y G� C <br /> knowledge and belief it is true,correct and complete. I acknowledge that 1 am responsible for the detail and accuracy of w n : vi <br /> a : u >1 <br /> all information contained in this application(including any accompanying schedule)and I further declare that 1 recognize m O O <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- m <br /> G): <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 � w <br /> providing in this application. I agree to permit county officials charged with administering county ordinances or other o <br /> m : EnE <br /> authorized person to have access to the ab ve described premises at any reasonable time for the purpose of inspection. CD o <br /> ay (D <br /> SIGN HERE S 3 C <br /> ( ur\of,owner or II Ing contractor) (date) n <br /> ZONING ADMINISTRATOR�F•_I7 Il (/�r���GC/ v ? <br /> 'AfA <br /> to ro 0 N <br /> p N (TNNO <br /> IL'0� TOWNSHIP PERMITS MAY BE REQUIRED N o v u o 0 <br /> ,LVA to �0 THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE ` <br />