Laserfiche WebLink
Burnett County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator - G 0 <br /> APPLICATI N FOR LAND USE PERMITS 3. <br /> Itil('1 N r <br /> o <br /> OWNER f� CD <br /> TELEPHONE 7�S`�—�3S` / nj31 SQ) <br /> v <br /> MAILING ADDRESS `C S-ete <br /> m <br /> o <br /> PROPERTYADDRES5 <br /> LEGAL DESCRIPTION(see tax receipt) —39 Ae/7 _l) Lo V <br /> (n - <br /> DWELLING/BUILDING ❑ GARAGE/ACCESSORY STRUCTURE ❑ ADDITION ❑ rn o <br /> TYPE OF PERMIT(S): <br /> FILLING( DING CAMPING UNIT ❑ (SUBDIVISION ❑ CL Q, <br /> STRUCTURE/ADDITION USE: f7 7 �1 Ln. <br /> e� <br /> (yoae/ abin; Commercial Business; Bedroom, Deck; etc.) 0) <br /> BUILDING CONTRACTOR: <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 <br /> O — <br /> DIRECTIONS FOR PLOT PLAN DRAWING_ (AERIAL OR TOP VIEW) O <br /> T n <br /> Z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. Tn � � <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS (EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m <br /> NORTH(N). <br /> n <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B) BUILDING(S)TO m �� <br /> CENTERLINE OF ROAD, (C)BUILDING(S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF Z <br /> LAKE, STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. o <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 /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER,BUILDER,CONTRACTOR, ETC.,THE PLANS ° <br /> MUST BE SIGNED AND DATED BY THE OWNER. 2 <br /> o <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN a o C,v <br /> NEEDED. <br /> 1 <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. Z <br /> CONDITIONS OF PERMIT: o <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT �J <br /> ISSUANCE. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. Q <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY <br /> PERMITTED. C <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> 5. <br /> CD coo r —> 0> 0 o <br /> M <br /> f <br /> 6. m �'c 3 a m ox <br /> a p m C N y o 3 <br /> 7. Z c �, ID0 <br /> 9 m E ii i m <br /> 1 declare that this application (including any accompanying schedule) has been examined by me and to the best of my �j Cn O <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of I m' C �^ : C <br /> all information contained in this application (including any accompanying schedule)and I further declare that I recognize m m <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- ° to <br /> t7 : 0 <br /> sue a permit. I further accept all liability which ma be a result of the County of Burnett relying on this information I am o o <br /> providing i I pplicatio I agree to peimit ty officials charged with admin' e <br /> authorize pers to ave ss to the abo e s ibed premises at any reasonab. o he o I ` : <br /> Vy <br /> n : <br /> SIGN H RE n <br /> a ; <br /> - I� d�� DJ <br /> ^ C e» n <br /> sign ure of ow r building contractor) JUN 2(Gt LU ' <br /> ZONING ADMINISTRATOR L <br /> BURNETT COUNTY <br /> O N O W W N O <br /> TOWNSHIP PERMITS MAY BE REQUIRED ZONING O N O U V N O <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br />