Laserfiche WebLink
z <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator g <br /> APPLICATION FOR LAND USE PERMITS - <br /> 0 <br /> OWNER =✓,j1 o` TELEPHONE <br /> Vim— `q02 .� go76 Oc <br /> w <br /> io <br /> MAILING ADDRESS f , a$O S`� � FVMCC IA �U157 -'1 OZ <br /> PROPERTY ADDRESS <br /> I vS W2 r W <br /> Qt q <br /> LEGAL DESCRIPTION z NuJ NE ?_(41OnS ' v <br /> O <br /> ADDITIO DECK 0 GAR <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ❑ r i <br /> C <br /> BUNKHOUSE 0 59.692(1V)GAZEBO 0 STAIRS 0 FILLING/GRADING 0 CAMPING UNIT 0 <br /> COMMERCIAL BUILDING 0 COMMERCIAL ADDITION 0 ((COMMERCIAL ACCESSORY STRUCTURED 0 <br /> STRUCTURE/ADDITION USE <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; <br /> BUILDING CONTRACTOR: h <br /> O 3 <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Yz X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PIANS p a <br /> WILL BE RETURNED. <br /> Rc <br /> nrs <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) c p <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 NEWO <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH (N). N p o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) O $ <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK 91 5 <br /> (OHWM) OF LAKE,STREAM OR RIVER AND WETLAND AREAS, AND (D) LOT DIMENSIONS. Cy O <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK (ST)AND DRAINFIELD (DF),AND ALL DISTANCES Q} q <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. <br /> 5. 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 o <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. 1 )^ <br /> V <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: � <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. (� z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. EE 'p <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. <br /> 7. T q5q5 O o n a t+1 <br /> H 2 o m a m o 0 5 �yy <br /> I declare that this application(Induding any accompanying schedule)has been examined by me and to the best of my <br /> knowledge and belief It Is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all <br /> Information contained In this application(Including any accompanying schedule)and I further declare that I recognize that this E. D D m <br /> Information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to Issue a permit. I m $w b <br /> further accept all liability that may be a result of the County of Burnett relying on this Information I am providing In this c °,° y :n w'S <br /> application. I agree to permit county officials charged with administrating county ordinances or other authorized person to have c c <br /> access to the above-descrl Ises at any re ble time for the purpose of Inspection. mE w S ti w N w n <br /> OWNER'S SIGNATURE a = y, a= c o 0 <br /> N o <br /> ZONING ADMINISTRATOR '_' m C w h1 <br /> APR 3 0 2012 " <br /> TOWNSHIP PE MITS MAY BE REQUIRED w <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF IS BUCE <br /> RNETT COU s s <br /> ZONING <br />