Laserfiche WebLink
—b <br /> Burnett County 7410 Co. Rd. K,No. 102,Siren,WI 54872 Office of Zoning Administrator -0 O Z <br /> APPLICATION FOR LAND USE PERMITS 4 Z <br /> y � N <br /> OWNER 1O 6 F2T N. M �E HCSE TELEPHONE "7��y �_i _f774 p �„ <br /> SO � <br /> j� (� <br /> m pW <br /> MAILING ADDRESS -725s- CT11' Rj C , cZ66ST'E►2,cof s4873 v <br /> PROPERTY ADDRESS S4 rY7 C A S ,4 BO L) ` <br /> _ r <br /> LEGAL DESCRIPTION(see tax receipt) S28/T�fO/ R jje�J 'ZN �� (~ /t.0 2-0000(, f/240 P (oZ ( � <br /> DWELLING/BUILDING ❑ (E3)ACCESSORY STRUCTURE I� ADDITION ❑ <br /> TYPE OF PERMIT(S): <br /> FILLING/GRADING ElCAMPING UNIT 1:1SUBDIVISION ❑ 3o y <br /> q8 a <br /> H <br /> STRUCTURE/ADDITIONUSE: R4PL4G�1"1EA1% TO eXISTrJCs / LAM 4144466— o , <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) ^�� <br /> BUILDING CONTRACTOR: AJOQ--r4A L-14r3lb &Atzp/�)G :i^- m <br /> v <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 81/2 X 11 SHEET OF PAPER. ANY INCOMPLETE OR <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. <br /> 7f H <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) O m <br /> CL <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. n d D <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m Is <br /> NORTH(N). C <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 <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 GRAD �ILLED. N <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, ETC.,THE PLANS o <br /> MUST BE SIGNED AND DATED BY THE OWNER. a <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VE4 ATION MAY ( 1 Q U) <br /> NEEDED. qUG <br /> i <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. 2 / Z aO <br /> CONDITIONS OF PERMIT: >> c <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIX <br /> ISSUANCE. Q� CO(fA, Z/ <br /> /�/G T y / <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY <br /> PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> 5. This structure to be used as private residential <br /> 6 garage/storage only. Not to be used for human w m O a f r � <br /> m <br /> habitation. m• a H = 70 <br /> a m C y <br /> 7. Z w o i arc <br /> PAn <br /> I declare that this application (including an accompanyingschedule has been examined b me and to the best of m <br /> PP (� 9 Y ) Y Y E L7� `• c <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of <br /> i a^ : v, • <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize m m o my <br /> that this information 1 am providing will be relied upon by the County of Burnett Wisconsin 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 charged with administering county ordinances or other o <br /> authorized person to have access to the above described premises at any reasonable time for the purpose of inspection. m m c <br /> 10 <br /> ia <br /> SIGN HERE g^Z^O y m <br /> cn � <br /> r(sig tura or or building contractor) (date) n <br /> W : <br /> ZONING ADMINISTRATOR E <br /> ✓ dl fA�•I�q fA�N <br /> �1 CCA OO <br /> ,�, I TOWNSHIP PERMITS MAY BE REQUIRED t"C>fV1'�� <br /> 1�a-(J THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE lr1 <br />