Laserfiche WebLink
&q W ' P/ <br /> Burnett County 7410 Co. Rd. K, No. 102, Siren, WI 54872 Office of Zoning Administrator d m o 0 <br /> APPLICATION FOR — LAND USE — PERMITS3. — <br /> d o <br /> TO THE ZONING ADMINISTRATOR:The undersigned hereby makes application for a Permit for the work described and _J <br /> located as shown herein. The undersigned agrees that all work shall be done in accordance with the requirements of the m J <br /> Burnett County Land Use Ordinance, Sanitation Cade, and with all other applicable County Ordinances and the laws and 3 <br /> regulations of the State of Wisconsin. <br /> OWNER David AndeAAon TELEPHONE (715) 327-8222 0 0 <br /> ADDRESS 1670 Hwtf. 48 Fnedenic, W7 54837 <br /> EMERGENCY/FIRE NUMBER ROADNAME Lify Lane <br /> LEGAL DESCRIPTION (seetazreceipl) Lot '3, CSM Vot. 9, Pg. 246, Section 36, T41N, RI6(U, ) <br /> CONTRACTOR Town 0� Sw2,6d <br /> TYPE OF PERMIT(S): DWELLING/BUILDING GARAGE/ACCESSORY STRUCTURE ADDITION p Z <br /> n L <br /> SANITARY_X PRIVY FILLING/GRADING CAMPING UNIT_ SUBDIVISIONo 0 <br /> Q n a 0 <br /> STRUCTURE/ADDITION USE: SQI1-C shy In�'�I.X.LI id ddb P111fr1 r�"j- CX�O` 0 0 <br /> (Home/Cabin;Commercial Business;Bedroom; Deck;etc.) Z o <br /> O p <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (Aerial or top view) <br /> 1. Show the location and size of all existing buildings (EB) and all new buildings (NB) and Indicate North (N). <br /> 2. Show the location of the well (W),septic tank (ST),and drainfield (DF). <br /> 3. Show dimensions in feet ofthefollowing:(a)building to all lot lines,(b)building to center line of road,(c)building q <br /> measurement to the ordinary high water mark of lake,stream, or river. IS <br /> 4. If separate plans are submitted by an architect,engineer,builder,contractor,etc.,the plans must be signed and M <br /> dated by the owner. 0 0 <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED FOR ONSITE VERIFICATION BEFORE A PERMIT CAN BE ISSUED. an o rn <br /> 71 Z Q <br /> PLOT PLAN ° n <br /> fn o <br /> CI <br /> N � <br /> IJ <br /> Q <br /> SEE ATTACHED o <br /> o <br /> N <br /> Z <br /> r->n� � <br /> 7o g� aaoe c= 37 <br /> CONDITIONS OF PERMIT: e Z ffi$ ro <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT ISSUANCE. o F 0 <br /> 5i i <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. oig ° ' rn <br /> i ff ' <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my knowl- c m C <br /> edge and belief it is true,correct and complete.1 acknowledge that I am responsible for the detail and accuracy of all informs- «�m a, m <br /> tion contained in this application(including any accompanying schedule)and I further declare that I recognize that this infor- . B o : p <br /> mation I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to issue a permit. I o o <br /> further accept all liability which may be a result of the County of Burnett relying on this information I am providing in this ap- <br /> plication.I agree to permit county officials charged with administering county ordinances or other authorized person to have N o <br /> access to the above described premises at any reasonable time for the purpose of inspection. _n ; 3 bo <br /> O N <br /> M w O <br /> SIGN HERE _ r�5` a. $ . <br /> (signature of owner or building contractor) ,_� _ e ,� � <br /> ZONING ADMINISTRATOR it <br /> TOWNSHIP PERMITS MAY BE REQUIRED ra N m <br /> 0 Soo U) <br />