Laserfiche WebLink
07/23/2007 10:49 3492166 B C ZONING PAGE 01 <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator e o <br /> APPLICATION FOR LAND USE PERMITS <br /> a � <br /> OWNERTP 12. 5�r' 1746 TELEPHONE <br /> MAILING ADDRESS <br /> �[ 1411 <br /> �� /'p <br /> PROPERTY ADDRESS .� 1411 S 7 D ��L 1 <br /> J �l <br /> LEGAL DESCRIPTION GT �� 5�d4, 02 �N A SA B <br /> SINGLE FAMILY DWELLING O GARAGE/ACCESSORY STRUCTURE M ADDITION O STAIRS O <br /> TYPE OF PERM>T(5). FILLING/GRADING O CAMPING UNIT O SUNKHOUSEk S9.692(IV)GAZEBO O DECK O fi 4 <br /> STRUCTURE/ADDITION USE: Ga'-g�z! ZZy'lel'5O✓SP Ic o <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) is <br /> BUILDING CONTRACTOR: m'!�2 S e.�! <br /> I � <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Ya X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS .q y <br /> WILL BE RETURNED. C, 1 <br /> O <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) 2 nn I(11_11 11 <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. e4 VV <br /> Z. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(ES)AND ALL NEW <br /> BUILDINGS/STRUCTURES NIB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, oy <br /> AND INDICATE NORTH(N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B) BUILDINGS) <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENTS)TO THE ORDINARY HIGH WATER MARK <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS. N rn <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(5T)AND DRAINFIELD (OF),AND ALL DISTANCES <br /> TO BUILDINGS,ROADS, LAKE, LOT LINES. aBa O <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. o <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER,BUILDER, CONTRACTOR, ETC.,THE <br /> PLANS MUST BE SIGNED AND DATED SY THE OWNER. <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED 50 AN ONSITE VERIFICATION MY BE DONE WHEN ^ 1lJ <br /> NEEDED. --hh <br /> THIS PERMIT IS SUBIECT TO ALL CONDITIONS LISTED BELOW: O_I <br /> 7 <br /> 3. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENT$WITHIN 60 DAYS OF PERMIT. <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. <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER Iv rn <br /> cE?AACK AREA. I V <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. & <br /> 6. <br /> �r rA Ry?m <br /> 7. a <br /> I declare that this application(Including any a=mpanying schedule)ham 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 Por the detail and auulacy of all Information ^ e <br /> contained In this applimtjon(Including any accompanying schedule)and I further declare that I recognize that this Information I % w <br /> am Providing MII be rolled upon by the County,of Burnett Wisconsln In determining whether to lave a permit I further accept all <br /> liability that may be a result of the County of Sumett relying on this Information I am providing In this appllcaton. I agree to `"S <br /> Permit county oB9dlale charged with dminlstratng county ordinances or other aut orized penion to have access m time ab We- S <br /> desWbed premises at any reamnab Bm for tha purpose of inspection. r <br /> 7 O <br /> OWNER'S SIGNATl1RE � / � -2�"O � � "'I 0 <br /> A <br /> (data)` �s_��'. <br /> ZONING ADMINISTRATOR <br /> WNSHIP PCRMrrMMAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE S o <br /> I aril 4 (eAi:V <br />