Laserfiche WebLink
in ^o Y <br /> a <br /> Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNER r TELEPHONE <br /> MAILING ADDRESS \ <br /> PROPERTY ADDRESS c <br /> r- <br /> LEGAL DESCRIPTION ,, <br /> R <br /> TYPE of PERMIT(S): SINGLE-FAMILY DWELLING ❑ ADDITION ❑ DECK❑ GARAGE/ACCESSORY STRUCTURE L9' <br /> d <br /> BUNKHOUSE❑ 59.692(1V)GAZEBO❑ STAIRS ❑ FILLING/GRADING ❑ CAMPING UNIT❑ <br /> m <br /> COMMERCIAL BUILDING ❑ COMMERCIAL <br /> nADD 0 ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ � ° _ <br /> STRUCTURE/ADDITION USE: <br /> (Home/Cab ; C mmercial Bu ess; Bedroom; Deck; etc.) <br /> BUILDING CONTRACTOR:L!�&4E ,� 3 <br /> O <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 1/1 X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS O <br /> WILL BE RETURNED. a <br /> n <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) <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 J <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, , — c <br /> AND INDICATE NORTH(N). 4Z-1 w c <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 CYo <br /> (OHWM)OF LAKE, STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS. <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 /> 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 <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. p <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: �) r- <br /> CD <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. 0) y 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. d <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATIO'N�.^/�, E <br /> 7. <br /> Z O m ry ry 0 0 3' <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my ini <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of allinformation contained in this application(including any accompanying schedule)and I further declare that I recognize that this E. E D q N : a <br /> information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to issue a permit. Ifurther accept all liability that may be a result of the County of Burnett relying on this information I am providing in this qapplication. I agree to permit county officials charged with administrating county ordinances or other authorized person to mE'have access to the above- ed premises at any reasonab a far t e Qurpose of inspection.OWNER'SSIGNATU E (dateDJUL112012ZONING ADMINISTRATOR TOWNSHIP PERMITS MAY BE REQUIRED BURNMCOUNTw <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE ZONING <br /> o . . <br /> 49 NfA fp 690 <br /> to U O O O O O <br />