Laserfiche WebLink
Burnett County 7410 Co.Rd. K,No.102,Siren,W154872 Office of Zoning Administrator m o 0 <br /> APPLICATION FOR LAND USE PERMITS <br /> Lowe/J IIR� ��eQn ��h�a ) CD <br /> c �Q <br /> (� r �/)2 t o TELEPHONE SI CL <br /> ,)J 7 / I]N w <br /> OWNER -j h,Dehra _ <br /> T m O <br /> MAILINGADDRESS / 000 Fax CT'`n D e- / Q�f�ort Fa 11 /!')IJ .ASO d `1 <br /> r m <br /> �t t <br /> PROPERTY ADDRESS +�cSISa 1Je PC) t " r <br /> O � <br /> Ia�3Ll rwV39 1�g�1 "/ Lo)- Ho aY oe"I JI6 / W"j L'_°t4-h, /hreeon ? 0 <br /> LEGAL DESCRIP ON(see tax receipt) t r o 4"1 0 78'0 <br /> GARAGE/ACCESSORY STRUCTURE ❑ ADDITION C <br /> TYPE OF PERMIT(S): or <br /> n <br /> FILLING/GRADING ❑/'CAMPING UNIITT�❑ SUBDIVISION El ) <br /> STRUCTURE/ADDITIONUSE: C 4bir% Utilt 0oZ 4-fA0J1t!r, 4IAi'- <br /> (Home/Cabin;Commercial Business; Bedroo ; Deck;etc.) V °D-- <br /> BUILDING <br /> 1BUILDING CONTRACTOR: <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR � <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) 0 $ <br /> m <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. m m <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE <br /> C �O <br /> 3. SHOW DIMENSIONS). IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO NORTH(Nm 6'3 <br /> 17 <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. Cl) <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES TO q� T C <br /> BUILDINGS,ROADS, LAKE, LOT LINES. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. e-1- N <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER,BUILDER,CONTRACTOR,ETC.,THE PLANS 2 <br /> MUST BE SIGNED AND DATED BY THE OWNER. f <br /> v � <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN y» ° <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. o 1 <br /> CONDITIONS OF PERMIT: <br /> I <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT a <br /> ISSUANCE. 3 <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY <br /> PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> ETBACK AREA. /�L,_ _/ riy�M a#(,r1th <br /> 5. ,�-rayyl¢ Moog-d a+6 0 <br /> -ffi,4)IMo- U �y7 �'(� ,p,T os��,G/[c M m r > v Q 0 m <br /> 6. C,{( i.1/ -TZ) ti r-1o0JPr0A /�i(!P1` CSll�n�l 'SCJ r 'Jc��/��� CD 3 a� a ° 3 <br /> / a m Co0 5 <br /> Z O O 0 q <br /> 7. O ?lam i A <br /> 0 <br /> I declare that this application (including any accompanying schedule)has been examined by me and to the best of my G" c C <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of iu a <br /> a <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize 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- J i <br /> sue a permit. I further accept all liability which may be a result of the County of Burnett relying on this information I am 1 <br /> providing in this application. I agr permit county officials charged with admi ' o er °1 <br /> authorized person to have access th above describe remises at any reaso r th ur i e m i o <br /> _ CD <br /> m m <br /> SIGN HERE <br /> :(!SIgntrf ow er or bu ontractor) OrT o. <br /> ZONING ADMINISTRATOR Guu'r <br /> BURNETT COUNTY 0 <br /> L"0 o <br /> TOWNSHIP PERMITS MAY BE REQUIRED ZONNG <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE � �� <br />