Laserfiche WebLink
z <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator a <br /> APPLICATION FOR LAND USE PERMITS Z cn <br /> OWNER �// ! � TELEPHONE -7�S <br /> / <br /> MAILING ADDRESS .2 <br /> 11 , <br /> PROPERTY ADDRESS <br /> LEGAL DESCRIPTION I w <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ❑ ADDITION ❑ l DECK ❑ GARAGE/ACCESSORY STRUCTURE d �- <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ STAIRS ❑ FILLING/GRADING ❑ CAMPING UNIT❑ O I <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION COMMERCIAL ACCESSORY STRUCTURE ❑ <br /> �� <br /> STRUCTURE/ADDITION USE: fes�x / o <br /> (Home/Cabin; Commerci usiness; Bedroom; Deck; etc.) ' j <br /> BUILDING CONTRACTOR: n <br /> O � <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Vz X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS o <br /> WILL BE RETURNED. m <br /> r, c <br /> 6 <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) ri � <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. r' <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NEW <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, c <br /> AND INDICATE NORTH (N). \�\ j z <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) C� <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS, AND (D) LOT DIMENSIONS. i p <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. 5' m w1 <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. su <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC.,THE i o <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. (J`I <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED 50 AN ONSITE VERIFICATION MY 8E DONE WHEN <br /> NEEDED. IY/ <br /> 1 <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: r <br /> l(I <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. 7y <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 1 <br /> SETBACK AREA. O <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. O <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. <br /> 7. zZa000cda 'V <br /> I declare that this application(Including any accompanying schedule)has been examined by me and to the best of my 3 0 z `� e ? w' <br /> knowledge and belief It is true,correct and complete. 1 acknowledge that I am responsible for the detail and accuracy of all d m d = a y <br /> Information contained in this application(including any accompanying schedule)and I further declare that I recognize that this .'� 5, D 9 m N <br /> Information I am providing will be relied upon by the County of Bumett Wisconsin in determining whether to Issue a permit. I Ei ?as <br /> further accept all liability that may be a result of the County of Burnett relying on this Information I am providing In this <br /> application. I agree to permit county officials charged with administrating county ordinances or other authorized person to have ° m <br /> access to the above-described premises at any reasonable time for the purpose of inspection. m w a o W N o o a <br /> K7 u o000o y <br /> OWNER'S SIGNATURE d, a a m r p _ O <br /> ZONING ADMINISTRATOR % Z.A 201'� y H °�° F n to <br /> R192012 � <br /> TO NSHIP PE MITS MAY BE REQUIRED A °� <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF I8UrT COUNTY N o N N N o <br /> vu o0 000 <br /> ZONING <br />