Laserfiche WebLink
7/6- 3qj - 2138 <br /> Burnett County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator - o° o <br /> APPA ION FOR LAND USE PERMITS . <br /> 14 vyi O <br /> 76 3 -40 67319 7 <br /> OWNER TELEPHONE <br /> w <br /> CD <br /> MAILING ADDRESS `�S'� �r 5Pivil er t'di f <br /> PROPERTY ADDRESS a ' <br /> 755 : Ind �>00011e V- W+ I <br /> LEGAL DESCRIPTION(see tax receipt) 3 V PaU 3 3(a-4/6-IV <br /> DWELLING/BUILDING Y GARAGE/ACCESSORY STRUCTURE ® ADDITION <br /> TYPE OF PERMIT(S): a <br /> FILLING/GRADING ❑ pAMPING UNIT ❑ SUBDIVISION ❑ <br /> STRUCTURE/ADDITION USE: f?0 Kkf /CA i n <br /> f '. ) <br /> (Home/Cabin;Commercial Business; Bedroom; Deck; etc.) U) <br /> BUILDING CONTRACTOR: f�CN.�µ/Ke A1f7 �IwfOv1 Lt')GJNC/ <br /> PC- <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8'h X 11 SHEET OF PAPER. ANY INCOMPLETE OR <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. p <br /> � c I <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) r <br /> 11 Z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. m wi: jo <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE <br /> NORTH(N). N o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO m \ 3 <br /> CENTERLINE OF ROAD,(C)BUILDING(S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF Z <br /> LAKE,STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. P <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES TO <br /> BUILDINGS,ROADS, LAKE, LOT LINES. Q <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. N <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER,BUILDER,CONTRACTOR, ETC.,THE PLANS �, 0 <br /> MUST BE SIGNED AND DATED BY THE OWNER. <br /> o <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN <br /> NEEDED. \' <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. o \1`. <br /> CONDITIONS OF PERMIT: 1 <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT 1 ` <br /> ISSUANCE. QQ ) <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. ry\ <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY <br /> PERMITTED. L' <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> �-t'b be >to -Frr rn boY-A s%cle- lot lies <br /> 40- 1 'em6V'L/ v1� ISn\� cQb�n (.�l T�►'I Yl tl-e� - 64 Perm f 3 a _a�,;9 <br /> m m - <br /> m C 12 y 0 7 <br /> I SS ciailce d Z H ; o <br /> 7. C�?ISI-f-� C C',oY►lt 6. � <br /> I declare that this application (including an accompanyingschedule has been examined b me and to the best of m y' p <br /> PP ( 9 ) Y Y L7 Ci C <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of ro o <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize E m m m <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin In determining whether to is- G� <br /> sue a permit. I further accept all liability which may be a result of the County of Burnett r I tion I am ; 4 <br /> providing in this application. I agree to permit county officials charged with administ o ) o <br /> authorized person to have access to the ab a described premises a ny re sona It i c m 0 . <br /> SIGN HERE <br /> (signatur own building contr to I (dat <br /> ZONING ADMINISTRATORB <br /> ���_ <br /> �/UN 1 Y <br /> TOWNSHIP PERMITS MAY BE REQUIRED Z�N�NG N o o <br /> Cs � THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE t <br />