Laserfiche WebLink
Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator = <br /> APPLICA/T�IOnN FOR LAND USE PERMITS y <br /> OWNER /✓ IR[n/if,/L /c--/- 'O TELEPHONE /137 /)z C/O n <br /> MAILING ADDREE6SS 7 d <br /> PROPERTY ADDRESS <br /> Loi 5 �' J <br /> LEGAL DESCRIPTION { �j- <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING p ADDITION O DECK El GARAGE/ACCESSORY STRUCTURE <br /> BUNKHOUSE D 59.692(IV)GAZEBO D STAIRS❑ FILLING/GRADING p CAMPING UNIT p v <br /> COMMERCIAL BUILDING p COMMERCIAL ADDITION p COMMERCIAL ACCESSORY STRUCTURE❑ - - <br /> SI-RUCTURE/ADDITION USE: ��//� y�( �1 L <br /> (Home/Cabin;COmmerndl Business Be .m; Deck;etc.) CSI <br />--&Js.LDskG CONFRABOR:— - - - - - — _ ,ED ' <br /> A PLOT PUN MUST BE PROWDED ON AN 8 V.X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS C ' <br /> WILL BE RETURNED. _ <br /> DIRECTIONS FOR PLOT PIAN DRAWING: (ARIAL OR TOP VIEW) O <br /> L 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 r <br /> BUILDINGS/STRUCTURES(NB), INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, (p <br /> AND INDICATE NORTH (N). <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 MEASUREMENT(S)TO THE ORDINARY HIGH WATERMARK <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS. <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK(ST)AND GRAINFIELD(DF),AND ALL DISTANCES n • W <br /> TO BUILDINGS, ROADS, LAKE,LOT LINES. <br /> 5. 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 r <br /> NEEDED. <br /> THIS PERMITIS SUBIECT TO ALL CONDITIONS LISTED BELOW: (ter (C����n� VW <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMp. ILLpaIIV_ V = L 4 j <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION 15 RESTRICTED ALONG SHORE <br /> LIN <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PER DAUG 2 9 2014 <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS, ETC. ALLOWED WITHIN THE HlQUI D ATER _ - <br />-'- <br /> SETBACKAREA. <br /> 5, ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/IMM6tIT1T COUNTY -- <br /> NOT TO BE USED FOR HUMAN HABITATION. ZONING <br /> 6. <br /> 3 ' <br /> Iticclare that this application(including any accompanying schedule)has been examined by me and to the best of my g ?.2 a ?_ U <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all <br /> information contained in this application(including any accompanying schedule)and I further declare that I recognize that this =g > W_v � <br /> information 1 am Providing will be mlietl upon by Me County of Burnett Wisconsin in determining whether issue a permit 1 _ _ — <br /> further accept all liability Mat may W a result of the County of Burnett relying on this information 1 am providing in this m' 5 <br /> application. I agree to permit goutyaMc.alschargedwithadminis Vng county ordinances or other authorized person to <br /> have access[o Me above-descri/bg/gP�Premises at an111(yyy�///f/iso /15�j� efor the purpose of inspecttii���on. > � n <br /> OWNER'S SIGNATURE '"''A �` ..2 <br /> (dateq 'r <br /> ZONING ADMINISTRATOR <br /> C ? <br /> C <br /> TOWNSHIP PERMITS MAY BE REQUIRED = <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE _ <br />