Laserfiche WebLink
(bYAP , <br /> Burnett County 7410 Co. Rd. K, No. 102, Siren, WI 54872 Office of Zoning Administrator to m c c <br /> APPLICATION FOR — LAND USE — PERMITS m _ _ <br /> TO THE ZONING ADMINISTRATOR:The undersi undersigned here makes <br /> g by application for a Permit for the work described and w <br /> located as shown herein. The undersigned agrees that all work shall be done in accordance with the requirements of the m c <br /> Burnett County Land Use Ordinance,Sanitation Corte,and with all other applicable County Ordinances and the laws and <br /> regulations of the State of Wisconsin. — o <br /> N W <br /> OWNER Steve Ammend TELEPHONE0 z f <br /> (7151 866-8301 <br /> ADDRESS Bax 349 WEbete.A, WI 54893 m �, <br /> EMERGENCY/FIRE NUMBER ROAD NAME <br /> C <br /> LEGAL DESCRIPTION (see taxreceipt)Lot 2, CSM V. 71,P. 242 8 Lot 2 CSM V. 14,P. 36, G.L. 1, <br /> CONTRACTOR Section 3, T39N, R16W, Town o4 Meenon u) <br /> TYPE OF PERMIT(S): DWELLING/BUILDING GARAGE/ACCESSORY STRUCTURE ADDITION p T <br /> SANITARY X PRIVYFILLING/GRADING CAMPING UNIT SUBDIVISION a <br /> a 0 <br /> 0 <br /> STRUCTURE/ADDITION USE: San2toAN Unelf g .°r. <br /> (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) Z <br /> _o <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 of thefollowing:(a)building to all lot lines,(b)building to center line of road,(c)building <br /> measurement to the ordinary high water mark of lake,stream,or river. <br /> 4. If separate plans are submitted by an architect,engineer,builder,contractor,etc.,the plans must be signed and <br /> dated by the owner. O <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED FOR ONSITE VERIFICATION BEFORE A PERMIT CAN BE ISSUED. v N <br /> PLOT PLANZ ` <br /> � v <br /> A o n <br /> 5 <br /> m o <br /> C <br /> , <br /> m <br /> c 3 <br /> w <br /> o C <br /> SEE ATTACHED o <br /> 0 <br /> m <br /> o <br /> N ♦' '1 <br /> �i Vv <br /> (V <br /> Z <br /> � F <br /> x0 .0000 n> Oo � <br /> R, <br /> 1. <br /> M <br /> CONDITIONS OF PERMIT: z. o c 3 <br /> o <br /> t. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT ISSUANCE. £ a Q T F <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. - i p m <br /> 3 i8 C <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my knowl- o m <br /> edge and belief it is true,correct and complete.I acknowledge that I am responsible for the detail and accuracy of all informs- 0 O <br /> tion contained in this application(including any accompanying schedule)and 1 further declare that I recognize that this infor- <br /> mation I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to issue a permit-L, $u g <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 �" <br /> access to the above described premises at any reasonable time for the purpose of Inspection. E o <br /> fit : 3 $ x <br /> m m A <br /> A : <br /> SIGN HERE Wo..de Ru{h12o.Pm 2/10/93 ` 8: E <br /> (signature of owner or building contractor) (date) 29 f <br /> i $ I <br /> ZONING ADMINISTRATOR <br /> TOWNSHIP PERMITS MAY BE REQUIRED «~ m <br /> MO <br /> <noo . m <br /> T$ 8 $ $ rn <br />