Laserfiche WebLink
Burnett County 7410 Co. Rd. K, No. 102, siren,WI 54872 Office of Zoning Administrator T D z <br /> APPLICATION FOR LAND USE PERMITS 3. <br /> OWNER /LL St4o Al TELEPHONE ��� <br /> M ISI <br /> m <br /> L.� O <br /> MAILINGADDRESS 3 O / t OAX <br /> CD <br /> PROPERTYADDRESS <br /> �t1��� c,JljoW J . R ( Sy <br /> ov coTs'� t <br /> LEGAL DESCRIPTION(see tax receipt) L f�r CS P -72-? CN Gm <br /> DWELLING/BUILDING GARAGE/ACCESSORY STRUCTURE 11 ADDITION Tc 0 <br /> TYPE OF PERMIT(S): Cr <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION ❑ �-+ �. <br /> STRUCTURE/ADDITION USE: �IUl 1 lJ 10(b'kV 'o <br /> T. <br /> (Home/Cabiinn;/Commercial Business; a ro m; Deck; etc.) <br /> /� <br /> BUILDING CONTRACTOR: / 7 o m <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 81/,X 11 SHEET OF PAPER. ANY INCOMPLETE OR -n3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. <br /> W <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) OT n <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. m o <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS (EB)AND ALL NEW BUILDINGS(NB)AND INDICATE <br /> C o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B) BUILDING(S)TO m0 <br /> 3 <br /> CENTERLINE OF ROAD,(C) BUILDING(S) MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF Z <br /> LAKE,STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. ° <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES TO <br /> BUILDINGS, ROADS, LAKE, LOT LINES. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. N <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER,BUILDER,CONTRACTOR, ETC.,THE PLANS 0 <br /> MUST BE SIGNED AND DATED BY THE OWNER. o O <br /> NOTE: BUILDINGISTRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN <br /> NEEDED. S <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. o I <br /> CONDITIONS OF PERMIT: O <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT �f <br /> ISSUANCE. <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., ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. /_ p S�' "�S <br /> 5. NO QQ� YTzgnS/ �6w`cl `�Cj nlOr �on�Orn�' <br /> y y n,,_ m r- W co 0 m 0 CD CL a FO m <br /> �QUn7/oY. CUr 1 �P.SSCLn �j d�Q U� l r2rtY m X 3 �a m ° m <br /> a o m c " 0 3 <br /> 7. r V(V�UQ o o c y ' A <br /> m t T m <br /> — in 6 D <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the best of my CnC <br /> knowledge and belief it is true, correct and complete. 1 acknowledge that I am responsible for the detail and accuracy of m <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize ^�' m m <br /> that this information I am providing will be relied upon by the County of Bu f ii;ltrli�deterw}ini.ng..whether to is- I7 s ; <br /> sue a permit. I further accept all liability which may be a result of the C ,, r xelyin twife rhation I am m E o <br /> providing in this application. I agree to permit county officials charge 6 p'ao I p s or other ' j <br /> authorized person to have access tq the above described premises at a asonable time for the purpose r , spection. CD <br /> m Q <br /> rSfP _ i <br /> SIGN HERELqti; �' <br /> g to of o building contractor) (da e_ ° O <br /> BURNETT COUNTY ` <br /> ZONING ADMINISTRATOR i <br /> ZONING laop o o(A<A kA <br /> O N (l l W W N O <br /> TOWNSHIP PERMITS MAY BE REQUIRED G <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br />