Laserfiche WebLink
Burnett County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator v ci Z \ <br /> APPLICATION FOR LAND USE PERMITS _. N <br /> OWNERe `71,1 45—F>MI At, a 1 <br /> �S� CLdL/ Q riJ /IZE 2 TELEPHONE _'7fS 8�alo "A�' Wis. <br /> _o Q) llllll��` <br /> MAILING ADDRESS 2290 erLt� -D .;C,,dbctr4 Mt Jt 5/'l� ,50T93 m f <br /> PROPERTY ADDRESS TQeKsov`Th/Sll. �tiJ 1 <br /> a 7.5 9 7haVscn B.4y Rb. ,31rc&iep- wcsCoA/S;» <br /> 'wrttPcs}� xI % 6 i Z —q Z3 G—b Z <br /> -Y `' <br /> LEGAL DESCRIPTION(see tax receipt)5gC3 t1j 0'I C�b RIS, <br /> �D I c� PUCA L sA 6SIY (/OL /_ pq 33 I U) <br /> is o m <br /> TYPE OF PERMIT(S): <br /> DWELLING/BUILDING ❑ GARAGE/ACCESSORY STRUCTURE ADDITION ❑ <br /> t n�Sov�z <br /> c 0 <br /> � <br /> Q <br /> FILLING/GRADING1:1 CAMPING UNIT ❑ SUBDIVISION ❑ tIN <br /> STRUCTURE/ADDIT]ONUSE: (3 Qf�Q , l U ' l�lY ]T/YtC�bIQ sAICCciBfOW4f, Ire/tic/GS ? <br /> ( e/Cabin;Commercial Business;Bedroom; Deck;etc.) co <br /> BUILDING CONTRACTOR: '- <br /> w <br /> v <br /> m <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8'/:X 11 SHEET OF PAPER. ANY INCOMPLETE OR <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. -n 3 3 <br /> O — <br /> y 0 <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) O m <br /> n o. <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. T z <br /> F) 0 <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m �D <br /> NORTH(N). C n <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDINGS)TO ALL LOT LINES,(B)BUILDING(S)TO m �— 3 <br /> CENTERLINE OF ROAD,(C)BUILDING(S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF �� \1 <br /> LAKE,STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES TO <br /> BUILDINGS, ROADS, LAKE, LOT LINES. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. n <br /> N `f-J <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC., THE PLANS 0 <br /> MUST BE SIGNED AND DATED BY THE OWNER. <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN o ^Fpm <br /> NEEDED. 1J <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. o <br /> CONDITIONS OF PERMIT: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT <br /> ISSUANCE. �U <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. 1p <br /> 3 NO GR <br /> TDING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. �y� �(pe,7 J <br /> 5. 'T 6 [s/ / <br /> / This structure to be used as private residential n r- D O D v v <br /> 3nmx ;L <br /> 6. garage/storage only. Not to be used for human 0 ° " a <br /> 7. habitation. ° o <br /> S n <br /> Cn <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the best of my 11 ''l�' — — A <br /> knowledge and belief it is true,correct and complete. I acknam responsible for the detail and accuracy of 11' m <br /> all information contained in this application(including any aI further declare that I recognize m o m <br /> that this information I am providing will be relied upon by think t �rtsin in determining whether to is- <br /> sue a permit. I further accept all liability which may be a result of the County of Burnett relying on this information I am m <br /> providing in this application. I agree to permit county officials Cd wiLh administering county ordinances or other <br /> authorized person t ave access to th bove described premis� any r e time for the purpose of inspection. '�° <br /> -n o : <br /> • m <br /> SIGN HEREZ <br /> (sig at re of owner or ildln contras or (date) . n <br /> ZONING ADMINI RATORzn <br /> to v+ <br /> fA di d!69 � N <br /> N V• N N O O <br /> N O [T T O O <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br />