Laserfiche WebLink
QWra- ?rS- a�E4 - 2(38 <br /> aunty 7410 County Road K, No. 102, Siren,WI 54672 WIDE of Zoning AAminlstretor <br /> APPLICATION FOR LAND USE PERMITS g - <br /> tr//- <br /> OWNER �ex ✓ U{���� TELEPHONE�/(r�E// <br /> MAILING ADDRESS ;%K71 <br /> *44 <br /> PROPERTY ADDRESSits/nO�,rrI <br /> LEGAL DESCRIPTION /^"� 9 D�C) ) - f 01 <br /> LEGAL <br /> O o <br /> i6w r / - <br /> GARAGE/ACCESSORY STRUCTURE❑ ADOITI ❑ STA O 3 ,�' <br /> TYPE OF PERMR(S): {pBw`U1 R <br /> FILLING/GRADING a MPING UNIT❑ BUNKHOUSE D 59.692(1V)GAZEBO D DECK O + <br /> STRUCTURE/ADDITION USE: r <br /> (Home/Catlin;Commercial Business; Bedroom; Deck; etc.) 2 <br /> BUILDING CONTRACTOR: W 47VaJ I(II�— <br /> A PLOT PLAN MUST BE PROVIDED ON AN 6 yf X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS no ; <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PUN DRAWING: (ARIAL OR TOP VIEW) <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. Is �I _ <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING WILDINGS/STRUCTURES(ES)AND ALL NEW ,'j, ., <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, : eP <br /> AND INDICATE NORTH(N). v QJ L \ a <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) WILDING(S)TO ALL LOT LINES,(B)WILDING(S) 1 tv y <br /> TO CENTERLINE OF ROAD, (C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK v <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS. QJ <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK(ST)AND DRAINFIELD(OF),AND ALL DISTANCES 1 5 <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 t . <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. <br /> NOTE: BUILDINGISTRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: � ) <br /> h <br /> I. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. Z <br /> O <br /> 2. REMOVAL OR OP.S NG EL TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. h r� <br /> 3. NO GRADING O0.SHORELANG ALTERATIONS ARE ALLOWED UNLESS SPEGFlGLLE PERMITTED. <br /> 9. NO STRUCTURES,INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER b <br /> SETBACK AREA. <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE-ONY- - <br /> NOT TO BE USED FOR HUMAN HABITATION. E <br /> 6. Af>,09 P> a <br /> Q eF�n En <br /> 7. F'B� @$G$..' 3 <br /> 1 declare Nat this application(Including any a¢gmpamiling serledule)has Deem examined by me and a the pest M my knowledge Z 2?. ^ y <br /> and belief It N true,correct and complete. 1 acknowledge that I am responsible for the detail and accuracy of all Information o 2- <br /> contained In this application(Including any accompanying schedule)and I further declare Nat I hicognia Mat Me,information 1 yj - <br /> am providing will be relied upon by the County of Burnett Wisconsin In determining whether to Muse Permit 1 further accept all <br /> Liability Nat may be a asuK of tM County of BumeN relylny on Nis Inrormetlon I am provklnp In Mif apDlixatbn. I sone N — '-b — <br /> permit <br /> -8 .permit county officials charged with admulstrst h,aunty onowienm or other auttorited Peron to,Nave atass to Me aten e- <br /> peones,prameles et any aamnablaOma ror the purpose M Iaq[Lon. i <br /> ,, I �J ;g G i -'i <br /> OWNERS SIGNATURE WA 41, a — � ((�(�t7((�� ^ � <br /> �� » B2 � m <br /> J=w _ m <br /> WNSHIP PE HITS MAY BE REQUIRED &N 2 6 2013 » <br /> SEP F6UJAR HALL EXPIRE ONE YEAR FROM DATE OF IS s..G <br /> BURNETT COUNTY BURNETT COUNTY <br /> ZONING ZONING <br />