Laserfiche WebLink
Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Agministrator R e <br /> APPLICATION FOR LAND USE PERMITS g <br /> OWNE TELEPHONE <br /> leao <br /> pV <br /> MAILING ATPE E55 O 2 5-- <br /> PROPERTY <br /> PROPERTY ADDRESS 'U 4 j <br /> LEGAL DESCRIPTION 4f <br /> �rii m <br /> SINGLE FAMILY DWELLING 0 GARAGE/ACCESSORY STRUCTURE X ADDITION 13 STAIRS ❑ o o <br /> TYPE OF PERMR(S): / <br /> FILLING/GRADING 0 CAMPING UNIT D BUNKHOUSE 0 59.692(1V)GAZEBO 13 DECK 0 <br /> STRUCTURE/ADDITION USE: arrxiii ( C oZ0 Z <br /> (H /Cabin; Comme/rci I Business; Bedroom; Deck; etc.) a P <br /> BUILDING CONTRACTOR: <br /> I� <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 ya X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBL PLOT PLANS <br /> WILL BE RETURNED. x <br /> C c_ <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. Ind <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL YEW <br /> BUILDINGS/STRUCTURES(NB), INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, w' <br /> AND INDICATE NORTH (N). L <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDINGS)TO ALL LOT LINES, (B BUILDINGS) <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATE I MARK Ilii'^,' a <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS. c w z <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK(ST)AND DRAINFIELD (DF),ANDA DISTANCES ? I 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, CONTRACTCR, ETC.,THE N <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. C' t <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. <br /> i <br /> THIS PERMIT IS SUBIECT TO ALL CONDITIONS LISTED BELOW: <br /> z <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. >: <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. n I Q <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED NATER <br /> SETBACK AREA. I "1 <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/Sl RAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. Q E <br /> 6. 51 I.ULI.rtarU ,i �1+� /q ' ^ F >na^>7. <br /> � � <br /> w n 3 M <br /> I declare that this application(Including any accompanying schedule)has been esarrdned by me and to the best of my knowledge z = <br /> and belief It Is true,correct and compkNe. I wledge that i respomlble for the detall and accuracy of all M rmation e <br /> contained in this application(kdrdinq i :a panying sc )and 1 former deciare that I recognize that this information I R r N V w'>v <br /> am providing will bo relied uppn by the u of Burnett WI nein In determining whether to Issue a permit. 1 N er accept all �'£ �^: _ : 4 <br /> liability that may be a result of the tY umett this IdormaBon 1 am providing In this application. I agree to Q L:b �• ^.. t- <br /> permit county orticlab charged with atkg county or other authorized person to have access co above- e n <br /> described premtras at any reasonab wdpecoma• � C1 S B$=_s <br /> nw S, e 0 <br /> OWNER'S SIGNATURE n C > <br /> v <br /> ZONING ADMINISTRATOR <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE N <br />