Laserfiche WebLink
b z <br /> Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS a <br /> OWNER U y{ �C f ' I I TELEPHONE -7 i � i , 6 I� <br /> o O <br /> MAILING ADDRESS � .f , � {�✓„��� L 1 p � S�.,n�n � . ���� � � <br /> PROPERTY ADDRESS <br /> LEGAL DESCRIPTION <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLINGWr AD I DIILQN ❑ DDECK.Ir GARAGE/ACCESSORY STRUCTURE ❑ v �. <br /> BUNKHOUSE 1111 TA <br /> 59.692(1V)GAZEBO IRS$( FILLING/GRADING ❑ CAMPING UNIT❑ ' <br /> �- <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ <br /> i <br /> STRUCTURE/ADDITION USE: S)y 41'r t�d-(10"Jdr (r k •I-n 1r,kP P <br /> (Horne/Cabin; Commercial Business; room; eC ; etc.) <br /> ^ <br /> BUILDING CONTRACTOR: -Sc /41� <br /> O � <br /> 77 < <br /> 0 <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8'/:X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS � <br /> WILL BE RETURNED. m <br /> n o <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) C O <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 M c <br /> BUILDINGS/STRUCTURES(NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, J o <br /> AND INDICATE NORTH(N). o 0 <br /> ° o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDINGS)TO ALL LOT LINES,(B)BUILDINGS) 5 <br /> TO CENTERLINE OF ROAD,(C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK O <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS. i <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES S. <br /> TO BUILDINGS,ROADS, LAKE, LOT LINES. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. 70ti <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 /> CD <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN '��g� Q� <br /> NEEDED. W :: <br /> THIS PERMIT IS SURIECT TO ALL CONDITIONS LISTED BELOW: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. I ) d z (f, <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 TQ BE USED FOR H �BITATION. �r ddd rrr���lll""" ry� n �I/'/�� /1 O <br /> 6. C�/(`J�/�///,t? L/-� ✓l�'[may / I Il-� ' I '" U <br /> /. Q T � > 000pae <br /> `° 33 � cc = id <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my 3 0 ° P w' <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all E. ' m 'm' m m' <br /> information contained in this application(including any accompanying schedule)and I further declare that I recognize that this E. 5 D o7 N <br /> Information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to issue a permit. I m ? a n Y <br /> w <br /> further accept all liability that may be a result of the County of Burnett relying on this information I am providing in this c s d, N -V <br /> application. I agree to permit coon fricials rged with ad ' istrating county ordinances or other authorized person to C] v No : g 8 .r. <br /> have access to the above-descr��d' <br /> ,use <br /> an^ time for the purpose of inspection. 9 > u o fI <br /> OWNER'S SIGNATURE _ S 2 A g o $ S 8 .a`S. <br /> m a <br /> (date) n a? n _� <br /> ZONING ADMINISTRATORZM <br /> Lj <br /> TOWNSHIP PERMITS MAY BE REQUIRED BURNETTCOUNly ' <br /> w <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCItONING <br /> fq�N 69 fA fA O <br /> � vii 000 00 <br />