Laserfiche WebLink
Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNER <br /> 1 KTELEPMONE� <br /> MAILING ADDRESS �oS ` - <br /> PRO*RTY ADDRESS g�c/S MR�y w Fes e,r r 55843 ' <br /> LEGAL DESCRIPTION I <br /> L-�I <br /> W <br /> TE OF PERMTT(6): SINGLE DWELLING ADDITION❑ PECK❑ GARAGE/ACCESSORY STRUCTURE jX <br /> BUNKHOUSE U 59,692(IV)GAZEBO❑ STAIRS C FILLING/GRADING U CAMPING UNIT G <br /> COMMERCIAL BUILDING U COMMERCIAL ADDITION 0 COMMERCIAL ACCESSORY STRUCTURE EJ <br /> STRUCTURE/ADDITION USE 'tl � _ <br /> (Ho1rC <br /> BUILDING CONTRACTOR: me/Cabin; mi (Cocrcial Business; Beemom; Deck; etc.) <br /> ADL <br /> A PLOT PUN MUST BE PROVIDED ON AN - IF X11 SHEET OF PAPER. ANY/ INCOMPLETE OR ILLEGIBLE PLOT PUNS pe _ <br /> WILL BE RETURNED. _ _ <br /> DIRECTIONS FOR PLOT PUN DRAWING: (ARIAL OR TOP VIEW) ` � ,r- <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 — IL <br /> BUILDINGS/STRUCTURES(NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES. <br /> AND INDICATE NORTH(N). <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 �I) <br /> (OHWM)OF UKE,STREAM OR RIVER AND WETUND AREAS,AND(D)LOT DIMENSIONS. <<; <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND GRAINFIELD(DF), AND ALL DISTANCES - <br /> TO BUILDINGS, ROADS,LAKE,LOT LINES. -C <br /> S. INDICATE IF A WALKOUT BASEMENT IS PUNNED AND SHOW AREAS TO BE GRADED OR FILLED. C <br /> 6, IF SEPARATE PUNS ARE SUBMITTED BY AN ARCHITECT,ENGINEER,BUILDER,CONTRACTOR, ETC.,THE _ UI <br /> PUNS MUST BE SIGNED AND DATED BY THE OWNER. <br /> ti <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW; <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. _ y <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. <br /> 3, NO GRADING OR SHOREUND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. <br /> 4, NO STRUCTURES, INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED MATER 4 <br /> SETBACK AREA. IJ <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. U1� <br /> NOT TO BE USED FOR HUMAN HABITATION. �) <br /> 6. F <br /> ^3 ] <br /> 1 declare Nat'his application(Rada ,any a¢ompanying schedule)has been examinee b T ' ' f F <br /> knowledgeY me and[o Ne hest aT my 3 p - _ <br /> i and contained <br /> It k Oise,<orceR end complete. 1 acknowledge Nat I am responsible r tied <br /> debit and accuracy of all -_ <br /> information I am Prov In this indication up(inon by any linty of Burned <br /> schedule)and 1 Nrther declare that 1 Fisca lxe that bus a <br /> information 1 am provlElnq MY be relletl upon by Ne County ol0urmtt Wisconsin In detetmininq whether to island a pertmG 1 <br /> or <br /> further accept all Ilabillry ay Nat mbe a result of Me County of Burnett retying an this information 1 am providing In this <br /> aPPIIPtIon. 1 agree to Pemlit county officials charged with adminlWam,county ordinances or other a eurwidingHad person to have <br /> —access tithe above-eescr0ee p2 at any rease,,Ne time for Me grtgVse of inspection. <br /> n <br /> eJ a � e.> zc _. _ � i <br /> OWNER'S SIGNATURE �A 1 �� 6- 19 I _ — <br /> v (date) n > <br /> ZONING ADMINISTRATOR _ ---- �( 5 <br /> - <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br /> �'' <br />