Laserfiche WebLink
_ � I <br /> Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITSV.= _ l))' <br /> OWNER r TELEPHONE <br /> MAILING ADDRESS <br /> 'u <br /> C1 KxT`, �l f,W I J -5'1,96) <br /> PROPERTY ADDRESS <br /> LEGAL DESCRIPTION _ <br /> TYPE OF PFRMITND; SINGLE-FAMILY DWELLING E3 ADDITION El DECK GARAGE/ACCESSORY STRUCTURE O _ �- <br /> 1 <br /> BUNKHOUSE❑ 59.692(1V)GAZEBO O STAIRS❑ FILLING/GRADING❑ CAMPING UNIT❑ 7 - <br /> COMMERCIAL BUILDING ED COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE❑ <br /> STRUCTURE/ADDITION USE: V Q[_t <br /> ome Cabin;Commercial tuuxmess; room; ;etc.)� n <br /> BUILDING CONTRACTOR: <br /> f. I) 13DyB01 <br /> A PLOT PLAN MUST BE PROVIDED ON AN 3 1 X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLAITS_ 2 d <br /> WILL BE RETURNED. _ � <br /> F O <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) — <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW _ SD <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, ?�^ <br /> AND INDICATE NORTH(N). zc� <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILOING(S)TO ALL LOT LINES,(B)BUILDING(S) c <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK - Er 'S <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS. <br /> 9. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(OF),AND ALL DISTANCES L <br /> TO BUILDINGS,ROADS,LAKE, LOT LINES I0 W <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. "- - <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER,BUILDER,CONTRACTOR,ETC.,THE <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER, <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STARED SO AN ONSITE VERIFICATION MY BE GONE WHEN ^ <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: d <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN A DAYS OF PERMIT. z lC1Y( <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION O RESTRICTED ALONG SHORELINE, II�� M�fT�� <br /> 3. NO GRADING OR ESS INCLUDING ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY U E L� ll L'� <br /> 9. NO STRUCTURES,INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQU E <br /> SETBACK <br /> CCESSO AREA. <br /> S ACCESSORY SED FOR UGARAGE PERMITS ALLOW FOR PRIVATE RESIDEN'T1AL GARA RAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. SEP 16 2014 + <br /> 6. � X > nnnn> o ^ <br /> 7. FII IFIMC:TT lint utTY <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the b2QNING <br /> knowledge and belief it is true,correct and complete. iacknowledge that I am responsible for the detall and accuracy of all � 'c — <br /> informalioncontainedinthisapplication(including any accompanying schedule)and l further declare that I recognize that this <br /> information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to issue a permit. I — <br /> furtheracceptallliabilitythatmaybearesultoftheCountyofBurnettrelyingonthislnformation l am providing in this c ,Pj ^ <br /> application. I agree to permit county pmc Is charged with administrating county ordinances or other authorized person to have m moo = <br /> across to the ainw-dr scrike��/� RS Ml`(t1,��'y reasonable time for the purpose of inspection. <br /> OWNER'S SIGNATURErl <br /> f'VL-•ice Y /�/ Ol �U/�ry n " L� = � c " — <br /> _ = 2 <br /> (/dale) c <br /> ZONING ADMINISTRATOR � — //lis/ 2.01 <br /> TOWNSHIP PERMITS MAY BE REQUIRED 11 II Y <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br />