Laserfiche WebLink
Burnett County 7410 Co. Rd. K, No. 102, Siren, WI 54872 Office of Zoning Administrator � 'O o <br /> APPLICATION FOR - LAND USE - PERMITS <br /> TO THE ZONING ADMINISTRATOR:The undersigned hereby makes application for a Permit for the work described and a o <br /> located as shown herein. The undersigned agrees that all work shall be done in accordance with the requireme its of the o V <br /> Burnett County Land Use Ordinance,Sanitation Code, and with all other applicable County Ordinances and the aws and $ <br /> regulations of the State of Wisconsin. <br /> w m <br /> OWNER John Zimmer TELEPHONE 612-894-4044 n e f <br /> O m <br /> ADDRESS 11551 12th Ave S Burnsville NIDI 55337 m J <br /> EMERGENCY/FIRE NUMBER new ROADNAME County 'IF" (n <br /> LEGAL DESCRIPTION (seetureceipt) NWgSW S19 T40N R17W VIi <br /> CONTRACTOR Daniels Plumbing & Heating Ince <br /> ✓1 <br /> TYPE OF PERMIT(S): DWELLING/BUILDING GARAGE/ACCESSORY STRUCTURE ADDITION 1 o q <br /> SANITARY X PRIVY FILLING/GRADING CAMPING UNIT SUBDIVISION o 0 <br /> o — <br /> STRUCTURE/ADDITION USE: Cabin o <br /> (Home/Cabin;Commercial Business; Bedroom;Deck;etc.) Z <br /> 0 <br /> Z 0 <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 Nort (N). �l�(1{/�) <br /> 2. Show the location of the well (yi),septic tank (ST),and drainf laid (DF). <br /> 3. Show dimensions in feet of the following:(a) building to all lot lines,(b)building to center line of road,(c)building O <br /> measurement to the ordinary high water mark of lake, stream,or river. .,l <br /> 4. If separate plans are submitted by an architect,engineer,builder,contractor,etc.,the plans must be signed and X <br /> dated by the owner. 0 <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED FOR ONSITE VERIFICATION BEFORE A PERMIT CAN BE ISSUED. 11 v w <br /> PLOT PLAN A o n <br /> � o <br /> C o �� <br /> See State approved plan t <br /> G10_ <br /> 5 <br /> N <br /> n <br /> m <br /> 4 � <br /> N <br /> r <br /> Z <br /> 1 <br /> O c 0� n�ao m <br /> 2 C f m <br /> CONDITIONS OF PERMIT: o m .� S C e g'm' <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT ISSUANCE. c : �Z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. 9 <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. E N : - p <br /> LA) <br /> I declare that this application(Including any accompanying schedule)has been examined by me and to the best of my knowl- <br /> edge and belief it is true,correct and complete.I acknowledge that I am responsible for the detail and accuracy of all informa- <br /> Ttion contained in this application(including any accompanying schedule)and I further declare that I recognize that this infor- $ ? rn <br /> motion I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to issue a rmit. I ` i 81 $ <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 - cl:` <br /> access to the above described premises at any reasonable time for the purpose of inspection. ' E <br /> m <br /> m <br /> SIGN HERE <br /> (signature of owner or Ing on r I r) (date) <br /> ZONING ADMINISTRATOR <br /> TOWNSNI RMITS M Y BE REQUIRED8m <br /> w N 9 2 N <br /> u8 v <br /> $ 88 $88 $$ vmi <br />