Laserfiche WebLink
Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator g <br /> APPLICATION FOR LAND USE PERMITS 7 r: y w <br /> OWNER �y 76 3." 5 1$ " 13 Z3 ° A <br /> 1M � \ ( cs, TELEPHONE —��3 --�,5 =18,(� a � <br /> MAILING ADDRESS 4 J5A� _ �1 04l�Jh �iL) m0 �� i MN 5543 v <br /> PROPERTY ADDRESS LU,��`O <br /> LEGAL DESCRIPTION V o <br /> PIg1} e eA s La S;AQ Uts Lot <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ❑ ADDITION ❑ DECK la GARAGE/ACCESSORY STRUCTURE ❑ ti <br /> 64-eu IR <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ STAIRS 21 FILLING/GRADING ❑ CAMPING UNIT❑ <br /> r ° <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ x <br /> STRUCTURE/ADDITION USE: c <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.)L <br /> BUILDING CONTRACTOR: �G '\N - N C4 =d 36-/3 s G <br /> n (� <br /> O � � <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 1h X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS o <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARL1L OR TOP VIEW) <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. C <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NEW <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, I y <br /> AND INDICATE NORTH (N). N o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) 0 <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK l , <br /> (OHWM) OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND (D) LOT DIMENSIONS. W <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. <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. 7'6 9j <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 /> 1 <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN y <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: r. <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. Z <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. Pada -4 be *Fre 6 ih w)All � <br /> 7. o k poer[and i-wakl ( ns. &y4, wd+,coed ho; -inustseed4lnUlCh im e/iu�C°/y R ' 3 > ro <br /> n � <br /> baa r.- <br /> [declare that this application(Including any attomperrylnq schedule)has been examined by me and to the best of my <br /> knowledge and belts R Is true,correct and compete. I admowledge that I am responsible for the detail and accuracy of all <br /> Information contained In this application(including any accompanying schedule)and I further declare that I recognize that this <br /> information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to Issue a permit. I <br /> further accept all liability that may be a reserR of the County of Burnett rNYInO on this information I am providing In Lhls c <br /> application. I agree to permit county officials larged with adminlatratlng county ordi o1 ave ^ n 0 8 S <br /> access to the above-described premises at any reasonable time for the purpose of I I I i —i 5 I I � 8 8 n <br /> LL vU L�• U 5py�gc S8 'a <br /> OWNER'S SIGNATURE MAT Z041UL0fte) <br /> LLJJo5 � <br /> ZONING ADMINISTRATOR COUNTY <br /> O� w w : o tti <br /> TO SHIP PERM MAY BE REQUIRED _"JNING <br /> � THIS PERMIT SHALL EXPIREPON YEAR FROM DATE OF ISSUANCE <br /> el/i'l(1`ale`�-l�/�1Ck26G(.fi � ��')i171'lCe� lj-as-�cj � �, 8o�oS <br />