Laserfiche WebLink
Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator a 3 <br /> APPLICATION FOR LAND USE PERMITS ?sly Uv <br /> OWNER P I Lle I N Q -I'� TELEPHONE <br /> r Or <br /> MAILING ADDRESS <br /> PROPERTY ADDRESS <br /> LEGAL DESCRIPTION j � O / _ o 2 <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING❑ ADDITION ❑ E GARAGE/ACCESSORY STRUCTURE ❑ 5 <br /> BUNKHOUSE CI 59.692(3V)GAZEBO O STAIRS❑ FILLING/GRADING ❑ CAMPING UNIT❑ <br /> r / <br /> COMMERCIAL BUILDINGCOMMERCLIL ADDITION❑ OMM/�iRCIAL ACCESSORY STRUCTURE 113 C) <br /> STRUCTURE/ADDITION USE: c �G, '7 z <br /> .. (Home/ab)n; Com ercial Business; Bedroom; Deck; etc.) I rO <br /> BUILDING CONTRACTOR: -{T` <br /> N <br /> 3 <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 yz X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS C o <br /> WILL BE RETURNED. _ <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) 0 <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 o <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, v <br /> AND INDICATE NORTH(N). N k} �` Z <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B)BUILDING(S) o (r I o <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK o <br /> (OHWM) OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D) LOT DIMENSIONS. O 'r pO� O <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK (ST)AND DRAINFIELD (DF),AND ALL DISTANCES -' N <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 71 0 <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. Z 3 <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN ,..I <br /> NEEDED. <br /> THIS PERMIT IS SUBIECi 70 ALL CONDITIONS LISTED BELOW: � � GJ <br /> ° O <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS.OF PERMIT. n z g � <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. l O <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. L C <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. n <br /> 7' e>ioe <br /> 0gt'1 <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my v< o °� <br /> knowledge and belief It Is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all ,m <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 relled upon by the County of Burnett WBconsin 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 <br /> access to the above-described premises at any reasonable time for the purpose of inspection. <br /> 's7e >88o88� <br /> OWNER'S SIGNATUR ,Z �� a S <br /> (date) c H�g> <br /> ZONING ADMINISTRATOR `� a ° <br /> TOWNSHIP PERMITS MAY BE REQUIRED w <br /> THIS PE IT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE «ti «� <br /> o l��{ �tCica( ,%o 'bLj <br />