Laserfiche WebLink
Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator o <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNER �"AKE S A A . CRLlRCH TELEPHONE 904 . 4 9- GZZB d <br /> M 1.t't � v <br /> MAILING ADDRESS 753 NA'LELMOOR LN . POMTE VEDRA, RL 32081 , <br /> PROPERTY ADDRESS HAMS ROAD , SCOTT TOWM SN 1 P <br /> LEGAL DESCRIPTION <br /> SW A OF NE 1/4, SECT 11 / T 40 N� R11- <br /> DWELLING/BUILDING 0 GARAGE/ACCESSORY STRUCTURE■ ADDITION 0 STAIRS 0 1W' <br /> TYPE OF PERMIT(S): <br /> FILLING/GRADING 0 CAMPING UNIT 0 BUNKHOUSE 0 59.692(1V)GAZEBO 0 DECK 0 n `� <br /> STRUCTURE/ADDITION USE: STD RA L7 E Z <br /> (Home/Cabin;Commercial Business; Bedroom; Deck; etc.) o <br /> BUILDING CONTRACTOR: FORTRESS TIMBER CQNSTRUCTIO )J <br /> P. O. BOX 418 AMERY/ WI 54-OD ] s S <br /> A PLOT PLAN MUST BE PROVIDED ON AN 81/2 X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS �°ro <br /> WILL BE RETURNED. r <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) <br /> no a <br /> 5' 'o <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 <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH (N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S) ^� c <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK i C c <br /> (OHWM)OF LAKE,STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. W z <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES r. '7y o <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 XJ <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. '� a <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: 'e 1 <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. n 4d <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. } a 1 <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. •C C.V <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. O <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. <br /> ate <br /> 7. ef0ne trc04= <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my knowledge <br /> and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all information <br /> contained in this application(Including any accompanying schedule)and I further declare that I recognize that this information I ,w� �., Y <br /> am providing will be relled upon by the County of Burnett Wisconsin in determining whether to Issue a permit. I further accept all c <br /> liability that may be a result of the County of Burnett relying on this informati I am providing in this application. I agree to permit (Dc) <br /> county officials charged with administrating county ord' antes or other au ized person to have access to the above-described <br /> premises at any reasonable time f the purpose of i ion. C)rygmnS Y <br /> SIGN HERE I o Z <br /> ign^a—W��—rye of owner of buil mg ntractor) 6H o c w riy <br /> ZONING AD ISTRATO <br /> AUG 2 2006 V) <br /> TOWNSHIP PERMITS MAY BE REQ D ? <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DAT LINTY O <br /> m� le i (11ce1 0 -Fo aIM C ur1AN{WGrd Ar)' 61-A b <br />