Laserfiche WebLink
w - z <br /> Burnett County 7410 County Road K,No. 102, Siren,WI 54672 Ofrwe of Zoning Administrator g , <br /> APPLICATION FOR LAND USE PERMITS <br /> L/ EYL e s � <br /> OWNER�"CI A <br /> 7- �� /✓A6A� TELEPHONE (952 6 <br /> 090— `&; ? <br /> _MAI—LING ADDRESS <br /> /3ao g L�PTe.✓ �✓ENYLE S'oH.rN /J�uNs,o�ce m/✓„5533� .. � <br /> PROPERTY ADDR ' 053-S tIn r D.e/✓ d/>`KLRi✓O IoW i✓S/s/l� 1'✓isG . <br /> LEGAL DESCRIPTION S. <br /> 1,*f S 5I cf/®N -rYiF i/o WL AW&r 16 /'✓Erf e laq� ply <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLINGDECK GARAGE/ACCESSORY STRUCTURE <br /> BUNKHOUSE• 59.692(1V)GAZEBO FILLING/GRADING CAMPING UNIT <br /> COMMERCIAL.BUILDING COMMERCIAL ADDITION COMMERCIAL ACCESSORY STRUCTURE <br /> STRUCTURE/ADDITION USE: iAcuI-LDYI + <br /> (Home/Cabin;Commercial Business Bedroom; Deck,etc.) P <br /> BUILDING CONTRACTOR: JP, <br /> L, v✓/6I2- row <br /> A PLOT PLAN MUST BE PROVIDED ON AN 6 Vi X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS A o <br /> WILL BE RETURNED. O ICS <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) I" 2. <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. c a <br /> 2. SHOW THE LOCATION AND SIZE OF ALL DQSTING BUILDINGS/STRIKIURES(EB)AND ALL NEW <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH(N). i z <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDINGS) <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENTS)TO THE ORDINARY HIGH WATER MARK we.. d <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS. t7 <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. . rn <br /> S. 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 .. c <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. <br /> NOTE: BUILDING/ST'RUCNRE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: 1 <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT, o <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. n 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. pV(� <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. rAa' N. �y <br /> 7. Q k n o n o n £ I <br /> I declare that this application(Including any accompanying schedule)has been examined by me and to the bast of my lowwletlpe <br /> aha ef R baBIs true,correct and complete. I aclmosdedge that i am responsible for the detall and accuracy of all infannation <br /> contained in this application(including any accompanying schedule)and I further declare that I recognise that this IMbrmatkm I <br /> am providing Will be relled upon by the County of Burnet Wisconsin in determining whether to lease a permit. I further,accept all $ �°•v <br /> gabYity that may ha s result of the Courcy of Burnett relying on this irrfonrmtlon I am providing in this application. I agree to o• in v, '^N <br /> permit county officials charged with admin4treting county ordinances or other autlwnind n i <br /> described premises at any reasonable time for the purpose of I n. Person to have eeeeaa to the above- 8 0 8 8 <br /> OWNER'S SIGNATURE " <br /> ( <br /> ZONING ADMINISTRATOR -TIMI(43n <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE N <br />