Laserfiche WebLink
z <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator c � <br /> APPLICATION FOR LAND USE PERMITS c Qom) <br /> OWNER � t �Ce VC� �S�� 3vA V_ TELEPHONE <br /> MAILING ADDRESSCA " <br /> a ,S e2a.g tr�c� C aa3E ��YT1 (o001 3 0 0 <br /> PROPERTY ADDRESS 1 <br /> < O <br /> LEGAL DESCRIPTION t <br /> r <br /> a <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ❑ ADDITION 17 DECK ❑ GARAGE/ACCESSORY STRUCTURE <br /> rV _ <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ STAIRS ❑ FILLING/GRADING ❑ CAMPING UNIT❑ <br /> COMMERCIAL BUILDING/❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ <br /> STRUCTURE/ADDITION USE: z �t-- <br /> (Home/Cabin; ClIf^mmercial Business; Bedroom; Deck; etc.) ' 7K- <br /> BUILDING CONTRACTOR: PG 0L— C6ti S C `f.7 r;, <br /> o <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Yz X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS C 0 <br /> WILL BE RETURNED. — — <br /> R <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. C <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NEW <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH (N). J <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) 0 0 <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS,AND (D) LOT DIMENSIONS. 00 <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK (ST)AND DRAINFIELD (DF),AND ALL DISTANCES <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. 31) <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. 1 <br /> 00 <br /> , , w 1 <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTORETC. THE T 3 <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. iV <br /> 1 r^ <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN 1 .� v) 'Z <br /> NEEDED. _ n <br /> O <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> b <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. <br /> Z 4- <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. x C:� <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER O p <br /> SETBACK AREA. _ <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 2 z n o 0 0 C) c d ro <br /> R N 3 3 a <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my <br /> knowledge and belief it Is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all <br /> Information contained In this application(including any accompanying schedule)and I further declare that I recognize that this <br /> information I am providing will be relied upon by the County of Burnett Wisconsin In determining whether to Issue a permit. I ? $ <br /> further accept all liability that may be a result of the County of Burnett relying on this Information I am providing In this <br /> application. I agree to permit county officials charged with administrating county ordinances or other authorized person to have c <br /> access to the above-descdbed pr sea at any reasonable time for the purpose of inspection. m w S <br /> D � 0000y <br /> OWNER'S SIGNATURE ,/� l� �U/�®/�/ rt o. a <br /> (date) o n> > 3 <br /> 3 <br /> ZONING ADMINISTRATOR l VYl I. in lq Q[� H (J)„ <br /> J n CEJ m a f+l <br /> TOWNSHIP PERMITS MAY BE REQUIRED ` G' <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br /> 'CtaCtp 6 16-10-1l <br /> 0000s <br />