Laserfiche WebLink
Burnett County 7410 Co. Rd.K, No. 102,Siren,WI 54872 Office of Zoning n s0ator V v o oz <br /> APPLICATION FOR LAND USE PERMITS . 4 <br /> 0 <br /> OWNER 1�- �� �„ TELEPHONE <br /> HOME ADDRESS j �J- .sr SS <br /> r � <br /> 0 <br /> EMERGENCY/FIRE NUMBER ROAD NAME <br /> a -za V 3 'P _z_)-_) d <br /> LEGAL DESCRIPTION(see tax receipt) �T?JJ�/�I r�Af T 3 ' <br /> L ao O 3 <br /> y <br /> TYPE OF PERMIT(S): DWELLING/BUILDING-GARAGE/ACCESSORY STRUCTURE ADDITION � c <br /> a <br /> 5. <br /> N <br /> SANITARY PRIVY FILLING/GRADING CAMPING UNIT SUBDIVISION <br /> Cn <br /> STRUCTURE/ADDITION USE: ff <br /> 3a ' <br /> (Home/Cabin; Commercial Business;Bedroom;Deck;etc.) v <br /> A PLOT PLAN MUST BE PROVIDED ON A SEPARATE SHEET OF PAPER. ANY INCOMPLETE OR C� <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. <br /> O l)' <br /> N <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) O <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. m jp <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE C n <br /> NORTH(N). W 0 <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES, (B)BUILDING(S)TO m v <br /> CENTERLINE OF ROAD,(C)BUILDING(S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF LAKE, Z <br /> STREAM OR RIVER. <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES TO BUILD- <br /> INGS,ROADS, LAKE,LOT LINES. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER, BUILDER,CONTRACTOR, ETC.,THE PLANS fi <br /> MUST BE SIGNED AND DATED BY THE OWNER. ,o o <br /> o � I <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED FOR ONSITE VERIFICATION BEFORE A PERMIT CAN BE q S <br /> ISSUED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. Z <br /> CONDITIONS OF PERMIT: ) <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT rn Q <br /> ISSUANCE. (>,u <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY( <br /> PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS,ETC.,AAL (:J1 N'75 fEET f}y OF LAKES, <br /> POD , RIVER UNLESS SPECIFICALLY PERMIT Q C�7 <br /> 5. �" �13s1� �:�� v �r� ; - 3 a 0 a "' <br /> 6. � e 1111 r� 1998 ��/N - � wowm <br /> M <br /> I declare that this application ( cluding any acc xn 1Qp��� a een examined to the t o a5 c i i i A <br /> knowledge and belief it is true,correct and complete. Ojt�(�lam responsible fo? accur f 'Ej n ` C <br /> all Information contained in this application(including any acc ymg schedule)and I further e C m m <br /> that this Information I am providing will be relied upon by the County of Burnett Wisconsin in <br /> dote <br /> ning wh her to is- y O <br /> Is- <br /> sue a permit. 1 further accept all liability which may be a result of the County of Burnett relying on this Information I am m E E <br /> providing in this application. I agree to permit county officials charged with administering county ordinances or other: o <br /> authorized person to have access to the above described premises at any reasonable time for the p rpose of Inspection. T <br /> e : <br /> o : <br /> SIGN HERE <br /> _o*aturybfAneroj6ull ctor (date <br /> ZONING ADMINISTRATOR APq v`/q lqh <br /> HN 40 40 40 <br /> N NN N Nt71N <br /> OWNSHIP PERMITS MAY BE REQUIRED 60 0 0 0 0 0 0 <br />