Laserfiche WebLink
r <br /> Burnett County 7410 County Road K,No. 102, Siren,WI 54872 ice of Zoning Administrator 3 � <br /> APPLICATION FOR LAND USE PERMITS _ <br /> A <br /> OWNER TELEPHONE ,/ �l3 <br /> PROPERTY ADDRESS G bSr(O L91CCea /'V J�AAN!��I W hl F <br /> LEGAL DESCRIPTION - ' <br /> 07 -07YZ -39 /Y-/2-5" OS-ODi- Oit7017 <br /> MAILING ADDRESS /qS > senKnS C /, `4�{ 6E //t /' � O ,�iw <br /> TYPE Ongie Family <br /> G- J JY Ya[ l N <br /> Single Family Dwelling ❑Garage/Accessory Structure Ll Stan U Commercial Building <br /> ❑Addition ❑ Bunkhouse ❑ Filling/Grading Cl Commercial Addition <br /> Cl Deck ''//U 59.692(ly)Gazebo LI Camping Unit C1 Commercial Acc. Structure <br /> STRUCTURE/ADDITION USE: IZe ?2e r Z J— <br /> (Home/Cabin; Commercial Business; Bedroom; Deck;etc.) <br /> BUILDING CONTRACTOR: •j lC Ct' ) 1 T <br /> r v <br /> n <br /> PLOT PLAN--- INCOMPLETE OR ILLEGIBLE PLOT PLANS WILL BE RETURNED. c,' <br /> m O <br /> ***REQUIRED PLOT PLAN INFORMATION*** <br /> C( 8'/z"X 11-SHEET OF PAPER // DISTANCE IN FEETI TO' <br /> '❑r DRAWN TO SCALE OR DISTANCES LABELED I] WELL <br /> '� PROPOSED BUILDING/STRUCTURE LOCATION ❑ SEPTIC TANK&DRAINFIELD 9 <br /> -)Dimensions&Heights ROAD RIGHT-OF-WAY IF SURVEYED o <br /> U EXISTING BUILDINGS/STRUCTURES(Includes deck, porch, etc.) /. ->CENTERLINE IF NOT SURVEYED <br /> 4Dimensions&Heights U-"ALL PROPERTY LINES o <br /> NORTH ARROW Cf ORDINARY HIGH WATER MARK _ <br /> ❑ ALL WETLAND AREAS N f 9J <br /> NOTE: Build'eg/structure location must be staked for onsite verification when needed. <br /> THIS PERMIT IS SUBTECT TO ALL CONDITIONS LISTED BELOW: _ <br /> Removal or cutting of bees and vegetation is restricted along shoreline <br /> No structures(including retaining walls,etc.)are allowed unless specifically permitted <br /> No filling,grading,or shore land alterations are allowed unless specifically PermittedI <br /> • Driveway must meet width requirements within 60 days of permit aQ O' �cLpy per. 4 <br /> Accessory structure/garage permits allow for private residental storage only 2�= <br /> " .S"•66 966 <br /> Not m be used for human habitation or rental storage*' <br /> ti LA <br /> 1 tlnlan,that this appliAnum(including any accompanying schedule)has been examined by me and to the best of my knowledge aid <br /> acter it is true,correct and complete. I scisni,wlepg^that l to reswe it le for the aided!and accuracy M an:.4ormaeon contained in <br /> this appOcarian(includinq any ucompenying strident)and I further declare that I recognize that this information moral will be f SIJ <br /> relied upon by the County of Burnett Wisconsin in determining whether to issue a Permit I further accept all liability that may be a <br /> result of Ne County of Burnett real on this information I am providing In this application. Iagree he Permit county ii charged <br /> with administrating county ordinances or of autborued pMsons to have access to Me above-described premises at any reasonable <br /> time for the purpose of inspection. <br /> nn >r. nm -:: D - <br /> ^ � p5 <br /> o 3 9 33 <br /> —ADDITIONAL CONDITIONS F �' a � 3 $o <br /> (� pp 3 <br /> fQ�pau� rh souz a os D �lJn <br /> Uol l ✓ �r0fal / as r r \\ JUL 16 2014 <br /> BURN CN 3 <br /> Is <br /> ��� � <br /> oasts <br /> OWNER'S SIGNATURE ^ a � •'I <br /> -. sr] Gv+ 7. In <br /> TONING OFFICIAL <br /> (' (date) <br /> "TOWN/UDC PERMITS MAYBE REQUIRED **THIS PERMIT SHALL EMPIRE ONE YEAR FROM DATE OF ISSUANCE <br /> You are responsible for complying with state and federal laws concerning construction near or on wetlands, lakes, and streams. <br /> Wetlands Nat are not associated with open water can be difficult to identify. Failure to comply may result in removal or modification <br /> of construction that violates the law or other penalties w costs. For more information visit the Department of Natural Resources o € <br /> wetlands identification web page or contact a Department of Natural Resources Service center. - <br />