Laserfiche WebLink
r ; r I 3. <br /> Burnett County 7410 County Road K, No. 302, Siren,WI 54872 O fi Rf Z rN rd <br /> A Mrator _ C <br /> APPLICATION FOR LAND USE PERMITS " L <br /> OWNER TELEPHONE <br /> BL'cX a {7QF/UDA SWEA21�/GE/� GCz-32P1- NSSD = ,�`� <br /> MAILING ADDRESS N <br /> IS310 PN/�Fl�LsNlE L/RCCC '>l ST/141F/!C/L /171✓ ssOSL IH <br /> PROPERTY ADDRESS _ L� <br /> 1938 svx�5 r'—� <br /> LEGAL DESCRIPTION <br /> PLL GaU t_o'r- L $Ai.IIT/O p,C SLo <br /> TYPE OF PERMITS): SINGLE-FAMILY DWELLING 11ADDON❑ &x17r GARAGE/ACCES5ORY STRUCTURE❑ = 9D <br /> BUNKHOUSE❑ 59.692(lV)GAZEBO❑ STAIRS❑ FILLING/GRADING ❑ CAMPING UNIT❑ II$`r1JC' <br /> COMMERCIAL BUILDING❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE❑ Xaa <br /> STRUCTURE/ADDITION USE: DELaC 9EGL/965_1n&aE11_ <br /> _. .(Home/Cabin;Commercial Bl iness; Bedroom; Deck;etc.) <br /> BUILDING CONTRACTOR:J/i O,2!'HLA4/D A?62 60 T70Na>1L H yall�$�(p{,jQ HepwnroC Cf. H4y...tieJ / T <br /> t71S) 63S 87IF8 s YSv3 x <br /> A PLOT PIAN MUST BE PROVIDED ON AN 8 V.X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS r ^„ p <br /> WILL BE RETURNED. r \ <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) <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 c <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH(N). 'off <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDINGS)TO ALL LOT LINES,(B)BUILDING(S) <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENTS)TO THE ORDINARY HIGH WATER MARK O V <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS. <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. - I\ <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. ti <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. TC P <br /> NOTE: BUILDING/STRURURE LOCATIONS MUST BE STAKED 50 AN ONSRE VERIFICATION MY BE DONE WHEN H I� <br /> NEEDED. ra p <br /> P <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: F <br /> p <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. u <br /> __2.. .REMOVAL OR CUTTING OF TREES ANDVEGETATION IS RESTRICTED ALONG SHORELINE. <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. N <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. 9 <br /> MOTTO BE USED FOR HUMAN HABITATION. <br /> 6. Deer ,✓ ' a c*%aD Fenn ,ze'a ey /rW^fD Fm;d snn1R-t a4AY F r,"p <br /> 7. EGeeu. MkST' Mr AS ae v/m9s1A7c .Pl PoW,&C. „ z > n n n > o <br /> I declare Nat this application(including any accompanying schedule)has been examined by one and to the beet of my <br /> knowledge and belief it Is true,correct and complete. 1 acknowledge that I am responsible for the detail and accuraq of all ' ' _ <br /> information contained in this application(including any accompanying schedule)andI further declare that l recognize that this ' E. > m > <br /> Information 1 am providlrg will be relied upon by the County of Bumett Wisconsin In determining whether to issue a permit. I c — <br /> furtheracceMallliabilityNatmaybearesultofthe County of Burned relying on this information l am providing In this ",5z m — i^NS <br /> applicatron. l agree to permit county official argedwiMadminis UngcountyadinancesoroNerauMoze mmnto _- _ < � = rte <br /> have access to the above-dezcri6ed premises a ny reasonable time for Me pumaze of inspection _ a !� F <br /> OWNER'S SIGNATURE' 2'Q c . /0 8 8 > <br /> (date) >'2 <br /> 2 <br /> ZONING ADMINISTRATOR <br /> FEB 112 2011 s <br /> TOWNSHIP PERMITS MAY BE REQUIRED _ - <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUAM14NETT COUNT) <br /> ZONING u _ _ <br />