Laserfiche WebLink
efl <br /> Burnett County 7410 Co. Rd. K, No. 102, Siren, WI 54872 Office of Zoning Administrator Coo o <br /> APPLICATION FOR — LAND USE — PERMITS 5. 0 <br /> s <br /> TO THE ZONING ADMINISTRATOR:The undersigned hereby makes application for a Permit for the work described and m <br /> located as shown herein. The undersigned agrees that all work shall be done in accordance with the requirements of the 41 $ <br /> Burnett County Land Use Ordinance,Sanitation Code, and with all other applicable County Ordinances and the laws and _ <br /> regulations of the State of Wisconsin. a m_ <br /> CD <br /> OWNER GEORGE BRIGGS TELEPHONE 866-4762 m c f <br /> ADDRESS 26330 Stengel Road, Webster, WI 54893 ° 1 <br /> c� <br /> EMERGENCY/FIRE NUMBER Same ROAD NAME <br /> LEGAL DESCRIPTION (see tax receipt) NW NW 15-39-16 <br /> 1 W <br /> a <br /> CONTRACTOR Self <br /> C] <br /> TYPE OF PERMIT(S): DWELLING/BUILDING GARAGE/ACCESSORY STRUCTURE ADDITION X o N <br /> n 17 <br /> SANITARY PRIVY FILLING/GRADING CAMPING UNIT SUBDIVISION <br /> o` <br /> STRUCTURE/ADDITION USE: �/v-Y' r-- --.JCf�P� 012 L' �o/�`r�rO/ m�- a o <br /> (H mo a/Cabin;Commercial Business;Bedroom; Deck;etc.) o a <br /> c <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (Aerial or top view) <br /> 1. Show the location and size of all existing buildings (EB) and all new buildings (NB) and Indicate North (N). <br /> 2. Show the location of the well (W),septic tank (ST),and drainfield (DF). <br /> 3. Show dimensions in feet of the following:(a)building to all lot lines,(b)building to center line of road,(c)building <br /> measurement to the ordinary high water mark of lake,stream, or river. <br /> 4. If separate plans are submitted by an architect,engineer,builder,contractor,etc.,the plans must be signed and M <br /> dated by the owner. C <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAND FOR ONSITE VERIFICATION BEFORE A PERMIT CAN BE ISSUED. a <br /> Z <br /> PL?T PLAN A o i <br /> // Z <br /> V w <br /> w <br /> air fJcr�s <br /> . r, Zx <br /> � N <br /> � O <br /> Y 0 IV <br /> \ O � <br /> N <br /> z <br /> A �=, <br /> m <br /> CONDITIONS OF PERMIT: o 'z CS N 'R C <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT ISSUANCE. a <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. t c gur i ' rn <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. V•E r" n ZS i ': D <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my knowl M <br /> edge and belief it is true,correct and complete.I acknowledge that I am responsible for the detail and accuracy of all informs- }± G <br /> tion contained in this application(including any accompanying schedule)and I further declare that I recognize that this inforI <br /> S <br /> motion I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to issue a Permit. <br /> further accept all liability which may be a result of the County of Burnett relying on this information I am providing in this ap- <br /> plication.I agree to permit county officials charged with administering county ordinances or other authorized person to have <br /> access to the above described promises at any reasonable time for the purpose of inspection. In <br /> u <br /> SIGN HERE <br /> sign ro of ow r building contractor) (dab) <br /> ZONING ADMINISTRATORG O <br /> OwNw�Nw w� T <br /> OWNSHIP PERMITS MAY BE REQUIRED o ,W, rah' —9,D' .O'LI`a'';!4 m <br /> 8888$$1$'8 V) <br />