Laserfiche WebLink
n 'L <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator g e <br /> APPLICATION FOR LAND USE PERMITS = s <br /> OWNER (/ TELEPHONL / ` �o <br /> MAILING ADDRESS / Y",. g <br /> (le✓ Cy � _( Isc:l w, ' S (o VVV 111 <br /> PROPERTY ADDRESS <br /> /J6�_(✓I.(Zt^IfI.T,✓� l�a(___��-rr.H �v/" 5�17.� N � T � <br /> LEGAL DESCRIPTION L U C 5Fu . <br /> TYPE OF pERMD(5): SINGLE-FAMILY DWELLING DDITION DEC GARAGE/ACCESSORY STRUCTURE <br /> BUNKHOUSE 59.692(1V)GAZEBO STAIRS FILLING/GRADING CAMPING UNIT N ,j <br /> v <br /> COMMERCIAL BUILDING COMMERCIALADDITION COMMERCIAL ACCESSORY STRUCTURE c <br /> STRUCTURE/ADDITION USE: �i H>'� `F <br /> (Home/Cabin; C memial Business; Bedroom; Deck; etc.) 1 <br /> BUILDING CONTRACTOR: cf ZIo f C'A '� (2 /l/fit -4L G`e't' n <br /> O S <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Yz X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PIANS a <br /> O <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PIAN DRAWING: (ARIAL OR TOP VIEW) <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. <br /> 2. SHOW THE LOCAI ION AND SIZE OF ALL EXISTING BUILDINGS/SI RUCI URES (EB)AND ALL NEW °B <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, O <br /> AND INDICATE NORTH (N). o �(t o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) O <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK W ,pE- ) C <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. S� '^ <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW ARRAS TO BE GRADED OR FILLED. I o <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC., THE I� LA <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. J tl C <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN .Io <br /> NEEDED. U\, <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: O <br /> O <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. - AJ n Z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. <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 /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. <br /> 7. <br /> I declare that this appllratlon(Including any accompanying schedule)has been examined by me and to the Lest of my <br /> knowledge and Delict It Is true,correct and complete. I acknowledge Nat 1 am responsible Lar the detail and accui of all m = L a <br /> Information contained In this appllcznon(Including any accompanying seAeduie)and 1 further declare that I recognize that N6 5D D m n; D <br /> Infonnatkn 1 am tunnelling will be relied upon by Ne County of Bumett Wluc nxm In determining whether to Issue a permR. 1 <br /> further adept all liability that may be a result of the County of Bumett relying on this Information I am proyidirg In this v m <br /> aWl"tlon. I agree to Permit county officials Merged with adminlsUetbg county ordinances or other autoarzed person to Kaye it e J g$ P <br /> access to the above-described P r...bk time fa the purpose of unpectM. 'y <br /> 3a � D8g ��-' .'�. <br /> OWNER'S SIGNATURE 0/, ,/ n m D 2 m n <br /> ....te�r1 ateIS <br /> ZONING ADMINISTRATOR / l -ills 2 g m P ci <br /> TOWNSHIP PER ITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE M N 8 e o o$ <br />