Laserfiche WebLink
Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator g r, <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNER TELEPHONE <br /> MAILING ADDRESS L� <br /> PROPERTY ADDRESS <br /> LEGAL DESCRIPTION ' <br /> i c <br /> i <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING 9 ADDITION ❑ DECK O GARAGE/ACCESSORY STRUCTURE ❑ r: <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ STAIRS 0 FILLING/GRADING ❑ CAMPING UNIT ❑ <br /> J <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ <br /> STRUCTURE/ADDITION USE: 'kUn^ c <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) <br /> �I <br /> BUILDING CONTRACTOR: <br /> 3 <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 'h X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS c <br /> WILL BE RETURNED. <br /> x n <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) r `- <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. � <br /> 4 a <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB) AND ALL NEW tN•. I ,�; ; n <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH (N). ^ p, <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDINGS)TO ALL LOT LINES, (B) BUILDING(S) <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK r' <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS, AND(D) LOT DIMENSIONS. o <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. - <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC.,THE <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. \ <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. f, <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: W \ <br /> d <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT, 0 Z ;� o <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. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. , <br /> 6, <br /> I <br /> 7. _ p > > o �t <br /> 3 n n y 3 3 ^ <br /> 3 3 3 6 = S <br /> [declare that this application(Including any accompanying schedule)has been examined by me and to the best of my 3 o a ? T <br /> knowledge and belief It Is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all 2 Y = =c <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 Bumett retying on this Information I am providing In <br /> this c <br /> application. I agree to permit county officials charged with administrating county ordinances or other authorized person to have o 8 r <br /> access to the above-described premises at any reasonable time for the purpose of Inspection. 5 ;; „Q«., <br /> OWNER'S SIGNATURE = c a <br /> .��- (date) v' o '' R v Z <br /> ZONING ADMINISTRATOR L I �t-I/l,, l r 1 •< _' v a v'. -rl <br /> — <br /> TOWNSHIP PERMITS MAY BE REQUIRED a C> <br /> THIS PERMIT SHALL EXPIRE ONJE YE R FROM PATE OF ISSUANCE C S o a o <br /> �P�'✓t� f2 �h1c�� ,a sh 1'4e-�e <br />