Laserfiche WebLink
Burnett County 7410 County Road K, No. 102, Slrw, WI 54872 Office of Zoning Administn for n c <br /> APPLICATION FOR LAND USE PERMITS <br /> w R ( S er�s2T TELEPHONE JCC??--Z(0 —O[� 9le <br /> 1 a <br /> MAILWGADDRES N 4 C`i E RQnd OI )--) IJ SSG�S <br /> PROP RTY D RES I t_dL Q w 5y <br /> rLEGPL DFSC . ON `I / �1t YrICT"ltdl,?k J Z o <br /> _ f 'SevE1� S7 0YCY�41l��o��i�19n {cillo 2 Vl��a <br /> SINGLE FAMILY DWE G ❑ GARAGE/A <br /> CESS STRUCTU ADDITION ❑ STAI S ❑ Q <br /> TYPE OF PERMIT(S): LLL���+++ <br /> FILLING/GRADING ❑ CAMPI(JG UN17�p BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑n DECK ❑ � <br /> STRUCTURE/ADDITION USE: Par IC r n 0 Ile 1 --, `gg c o'n we e 1cq I, a�-S 7f; r z <br /> (Home/Cabin; Commercial'[Business; Bedroom; Deck; etc.) YeCf�Q <br /> BUILDING CONTRACTOR: W 140: <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 W X11 SHEET OF 0APER. ANY INCOMPLETE OR ILLEGIBLE PLOT PI ANS n <br /> WILL BE RETURNED. <br /> o ^ <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARJAL OR TOP VIEW) <br /> 6 <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE 4HOWN OR DRAWN TO SCALE. <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING B(VILDINGS/STRUCTURES (EB)AND ALL NEW c' <br /> BUILDINGS/STRUCTURES(NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH (N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDI (S) o <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASURE NT(S)TO THE ORDINARY HIGH WATER MARK o <br /> (OHWM) OF LAKE,STREAM OR RIVER AND WETLANDS AREAS,AND(D)LOT DIMENSIONS. N �, <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TAIIIK(ST)AND DRAINFIELD(DF),AND ALL DISTAIN CES o <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. w Cy <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. d o <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHIrocr, ENGINEER, BUILDER, CONTRACTOR, ETC., HE a <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. <br /> yy <br /> NOTE: BUILDING/STRUCRJRE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE W EN <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. Pn- <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. Q <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE A40WED UNLESS SPECIFICALLY PERMITTED. 9 <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 0 ILY. <br /> NCEJO BE U ED FOR HUMAN HABITATION. <br /> 6. —V is Aff rLq-� 4i- 60bgr� �a/ (� iJ, le�f,Q. <br /> s �moaro <br /> ` 6 til <br /> 7. � A �n 0 �i Q; C <br /> I declare that this application(Including my accompanying sdheduk)hes been examined by me and to the best of my km wa <br /> ge � �, wan <br /> n : y <br /> and beilef It Is true,correct and complete. I acknowledge that I am sole for the detail and acmiracy of all Information e <br /> contained In this application(Including any accompanying scindule)and I further declare that I remgnb:e that this I I ;,, <br /> am providing will be relied upon by the County of Bun Mt Wbcwmdn In petermini ng whedw to Man a permit I further all m H`=W`^ti <br /> liability that may be a result or the County of Burnett relyingon this Information I am providing M this application. I agree to 8 <br /> permit aunty officials changed with admmistratlno county ordhnnces or other authorized person to have access to the above- c f1 <br /> described premises at any ressonableMine for the purpose of inspection, m <br /> A �� nmy <br /> 0 <br /> r <br /> OWNER'S SIGNA /f O <br /> (date) <br /> ao <br /> ZONING ADMINISTRATOR o' <br /> TOWNSHIP PERMITS M BE REQUIRED "^ ' <br /> M: M: <br /> TH ERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE 8 u ^o <br />