Laserfiche WebLink
Burnett County 7410 Co. Rd. K, No. 102, Sinn, WI 54872 Office of Zoning Administrator I 0 m o 1 0 <br /> APPLICATION FOR — LAND USE — PERMITS <br /> TO THE ZONING ADMINISTRATOR:The undersigned hereby makes application for a Permit for the work described and u <br /> located as shown herein. The undersigned agrees that all work shall be done in accordance with the requirements of the o = � <br /> Burnett County Land Use Ordinance,Sanitation Code, and with all other applicable County Ordinances and the laws and ✓�- <br /> regulations of the State of Wisconsin. _ <br /> &t2- 321—Y <br /> � S6 <br /> FOWNER LLC TELEPHONE Z 5111 <br /> G//— � O <br /> m m <br /> ADDRESS ;?- t,_7'� <br /> EMERGENCY/FIRE NUMBER ,✓ ROAD NAME NC. <br /> LEGAL DESCRIPTION (see tax receipt) ,-V i 3 0 S rq VGI_ f Z /17 —�f 5;cV <br /> CONTRACTOR <br /> TYPE OF PERMIT(S): DWELLING/BUILDING GARAGE/ACCESSORY STRUCTURE ADDITION <br /> o r <br /> SANITARY PRIVY X _ FILLING/GRADING CAMPING UNITSUBDIVISION o j <br /> 0 <br /> 0 <br /> r <br /> STRUCTURE/ADDITION USE: 0 0 _ <br /> (Home/Cabin;Commer ial Business;Bedroom; Deck;etc.) Z 7 <br /> 0 <br /> M <br /> m <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (Aerial or top view) <br /> 1. Show the location and size of all existing buildings (EB) and all new buildings (NB) and Indicate No 1h (N). <br /> 2. Show the location of the well (W),septic tank (ST),and drainfield (DF). o <br /> 3. Show dimensions Infest of the following:(a) building to all lot lines,(b)building to center line of road,(c)building <br /> measurement to the ordinary high water mark of lake, stream,or river. <br /> 4. If separate plans are submitted by an architect,engineer,builder,contractor,etc.,the plans must be fill <br /> gned and <br /> dated by the owner. 0 <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED FOR ONSITE VERIFICATION BEFORE A PERMIT CAN BE ISSUED. o N <br /> PLOT PLAN n o 'n <br /> w N vl <br /> C <br /> < : <br /> �l <br /> 0 <br /> N <br /> o <br /> o � <br /> y <br /> n <br /> f <br /> bn r�v�mrD DOS <br /> m In <br /> CONDITIONS OF PERMIT: c m 3. ,Z C o o 33 <br /> 18 <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT ISSUANCE. = m P6' Z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. ° <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. m <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of y knowl. r: o : <br /> edge and belief it is true,correct and complete.I acknowledge that I am responsible for the detail and accuracy of a I informs- «�y'« <br /> tion contained in this application(including any accompanying schedule)and I further declare that I recognize that this infor- In <br /> motion I am providing will be relied u - <br /> P g port by the County of Burnett Wisconsin in determining whether to issue permit. I <br /> further accept all liability which may be a result of the County of Burnett relying on this information I am providing in this ap- <br /> plication. Y- <br /> 1 agree to permit county officials charged with administering county ordinances or other authorized pent n to have E - o <br /> access to the above described promises at any reasonable time for the purpose of inspection. <br /> m <br /> SIGN HERE IINL - --_-.- . _. .- _...--1 <br /> (sign ure of_owner or building contractor) (dots) 1 E « <br /> ZONING ADMINISTRATOR <br /> TOWNSHIP PERMITS MAY BE REQUIRE Y j 'Ii 9 R8U"««`"-»ia -in <br /> I j . , ' Nr 9' <br /> �I 'J sssgsssay <br />