Laserfiche WebLink
C m p <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS �. m <br /> OWNER Iyl @�a�k�l TELEPHONE <br /> MAILING ADDRESS <br /> PROPERTY ADDRESS /I^�n�y� � ��^� <br /> a <br /> LEGAL DESCRIPTION !j 30 /R 17W I ICY�.S 6E 5 F S <br /> l N F; <br /> TYPE OF PERMIT(S): SINGLE-FAIMILY DWELLING ❑ ADDITION ❑ DECK ❑ GARAGE/ACCESSORY STRUCTURE <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ STAIRS O FILLING/GRADING ❑ CAMPING UNIT❑ <br /> ro <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ S' <br /> w <br /> STRUCTURE/ADDITION USE: fc <br /> (Home/Cabin; mmercial Bu ess; Bedroom; Deck; etc.) 10 <br /> BUILDING CONTRACTOR: n <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Ya X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS C ? <br /> WILL BE RETURNED. o. <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) tna <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 e°1a ro <br /> BUILDINGS/STRUCTURES (NB),INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, p <br /> AND INDICATE NORTH(N). o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK W' d <br /> (OHWM)OF LAKE, STREAM OR RIVER AND WETLAND AREAS,AND(D) LOT DIMENSIONS. q <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES Uj <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. ' w <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. y 4- <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. <br /> CDI <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN y _� <br /> NEEDED. <br /> THIS PERMIT IS SUBIECT TO ALL CONDITIONS LISTED BELOW: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. ft z lJ <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. G <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 <br /> SETBACK AREA. <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. 3 9 <br /> 7. 5' i' BB ^ t%J <br /> I de flare that this application(kxkWing any acminpsnykq schedule)has been eramked by me and to the beat of my <br /> knowledge and bd W R Is tie,correct and complete_ I adaeadedge that I am T,eepamm <br /> ible for the detal and arracy of all `K. m <br /> Romcontained <br /> kroeon contai ed In this application(W-1 dNg airy accompam"adedub)and I(artier deride that I rempnb a that this <br /> kf Tnatbn I am pmvldkg will be oiled upon by the County of Burnett Wlsaomin In determining whether to Iwue a permit. I 45 a$v y <br /> furthar aooept al liability that may be a result of the Caddy of Burnett rdykq on this IMmnatbn I am providing In this E s. ;,, 13 c wd <br /> application. I agree to permit county officials charged with administrating county ordkances or other authorized person to have ^ .Z° 0 <br /> accede to the above-described P Idea at airy moorabis time for the purpose of kopecilrc eJ a C: A <br /> SA� gs$ oas � <br /> OWNER'S SIGNATU (dft) <br /> VA/�� 6H O C x <br /> F <br /> y 8 0 <br /> T � av-F <br /> ZONING ADMINISTRATOR �J I m ioC-)n t �l % E an <br /> TOWNSHIP PERMITS MAY BE REQUIRED s iiw <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE u N C e <br /> 00000 <br />