Laserfiche WebLink
Burnett .County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS I G, <br /> OWNERCXrle,S +?epee GC pCK C'. TELEPHONE 6/_7.OL._777IO I S <br /> MAILING ADDRESS C`77 - k ! Z <br /> J 0� a <br /> PROPERTY ADDRESS <br /> 1 Tic. 1 6C7� ��j <br /> LEGAL DESCRIPTION <br /> TYPE OF PERMIT(S): <br /> DWELLING/BUILDING JK GARAGE/ACCESSORY 11 El ADDITION STAIRS 11 <br /> FILLING/GRADING 0 CAMPING UNIT 0 BUNKHOUSE 0 59.692(1V)GAZEBO 0 DECK 0 n `� <br /> STRUCTURE/ADDITION USE: /�/OML ��✓� < c <br /> //�/A�/ (Home/Cabin;/Commercial Business;; Bedroom; Deck; etc.) ° •� <br /> BUILDING CONTRACTOR: ,&-&&4— D4, Ideas r-lY <br /> s <br /> A PLOT PLAN MUST BE PROVIDED ON AN B§4 X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS � <br /> O <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) <br /> I. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW <br /> C <br /> BUILDINGS/STRUCTURES (NB),INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH (N). n <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDINGS) <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK Z O p <br /> (OHWM)OF LAKE,STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. is c <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES r _ <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. c <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER,CONTRACTOR, ETC.,THE ✓e y N <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. o <br /> R <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. $ �m <br /> THIS PERMIT IS SUBIECT TO ALL CONDITIONS LISTED BELOW: o > <br /> �� a <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. �I <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. 3 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 WATER <br /> SETBACK AREA. S <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. O <br /> NOT TO BE USED FOR HUMAN HABITATION. p (J <br /> 6. <br /> 7. � o <br /> I declare that thls appllatlon(Mhduding any accanhpanyln0 sdheduk)has been ehomkhed by me and to the best of my knowledge x rn E H <br /> and belief K true,ue,corred and complete. I admaMWge that I am responsible for the detail and ataraw of all Information o g <br /> contedned in this appikauon(lndud ft any a000nhpanyig els)and I fu thi:r declare that I recognize that this Inkrmanon I $ h in N <br /> 12 <br /> am prvAdkq will be relied upon by the County of Burnett Wisconsin In ddwmkft wheCher to Issue a Permit I Oxt her accept an c h".,"' W�+S 'TJ <br /> liability that may be a result of the County of Burnett relying on this MMnnation I am providing In tiff application. I agree to .r, <br /> permit county officials du rged with admit isino g aunty ordinances or odner ahaholmd person to have access to the above- S of A <br /> described pvnises any reasonable CmCpurpose e for a ppose or inspection- - Fd '° gC o� E <br /> wM di <br /> .. <br /> oe <br /> 'r1 S 6 t�5 <br /> SIGN HERE�� ox dv /�(date} <br /> (signature or owner of bum"contractor) <br /> ZONING ADMINISTRATOR <br /> TOWNSHIP PERMITS MAY BE REQUIRED ;5 <br /> dU $uu" o <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br />