Laserfiche WebLink
Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator <br /> //y/� APPLICATION FOR LAND USE PERMITS Ny = G <br /> OWNER r;JN Il / 4C TELEPHONE <br /> MAILING ADDRESS <br /> J7r <br /> PROPERTY ADDRESS <br /> LEGAL DESCRIPTION <br /> TYPEOFPERMHHS): SINGLE-FAMI=UAADDU <br /> 11 <br /> U <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ STAIRS O FILLING/GRADING ❑ CAMPING UNIT 11 11 j <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ r �� <br /> STRUCTURE/ADDITION USE: ial B e ,II(.�.,'' c <br /> (Home/Cabin; Commercial BOslne_ss; Bedroom; Deck; etc.) - kiki <br /> BUILDING CONTRACTOR: ZC Z r <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 %X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS A <br /> O WILL BE RETURNED. _ <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) p <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. <br /> VV�2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NEW oma+ e <br /> OF BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, d a <br /> AND INDICATE NORTH (N). f t G <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENTS)TO THE ORDINARY HIGH WATER MARK <br /> (OHW M) 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 (DE),AND ALL DISTANCES <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. p� '- <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. nnn <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC.,THE � <br /> .. 1 PLANS MUST BE SIGNED AND DATED BY THE OWNER. <br /> �,fIQY"TE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN yL\ ` .q I <br /> Imo' NEEDED. IL1^1 <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> O rt <br /> .)� 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. <br /> T 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. Q L <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER to <br /> SETBACK AREA. Ca <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. p <br /> 6. r,-,T'c jgd h1�)N 7d �t Ff�O C& td pNJ M��C CdM�liry lT ui}4 <br /> A > nnnnoc <br /> L, 7. SHA 1,lti��C �SC7.�s.c�(' I`('ONIN twr's. '� „ 6 3 3 3 ~ �� R <br /> I declare Mat this appl is bru .correct <br /> any aaolate. I n9 s oiled e)has I am responsible <br /> by r t and to the best of my 3 o j a 'C 'C <br /> knormatio and belief itis true,cared antl complete [acknowledge that I am responsible for ed detail and aaurecy n all d==Information I am bri B in this application upon(ind.ding any aceaCounty <br /> a Burne schedut Wismle)and I terremurther Eg who Mat I Tissue ae Mat MIs `� 4± N' <br /> Information I am pmvliy t will a relied a upon by he County f Burnett WISIng on ins information <br /> whether to Tawen permit 1 �^, P <br /> further accept all liability that may be a rewli of the County of Bu eat relylnp ry Mis inm or o I r a Providing In this <br /> _w S <br /> application. 1 agree M permit county officials M1arged WI[h aE - sting county or8inances a other authorized perwn to have v Ltd €o c F r <br /> access[o Me above-desmbetl prem,ses at reasonable tl e f e purpose of Inspection. m c c�'^„ "" D <br /> d 6ocoo <br /> ? wn <br /> OWNER'S SIGNATURE n '^ > <br /> ZONING ADMINISTRATOR _ _. —JUNo 7013- <br /> NSHIP PERMITS MAY BE REQUIRED ? <br /> THIS PER SHALL EXPIRE ONE YEAR FROM DATE OF ISSBUMETT COUNTY v - <br /> ZONING <br />