Laserfiche WebLink
Z <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS = <br /> OWNERTELEPHONE f <br /> /J!P^/C !�iP9CL� 'f//.9.fleiT .?lCC l_s7 <br /> 0 <br /> MAILING ADDRESS <br /> PROPERTY ADDRESS <br /> LEGAL DESCRIPTION YL r7. A�s A J[ I'a =q kI l(I V Z . <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ❑ ADDITION ❑ DECK❑ GARAGE/ACCESSORY TRUCTUR <br /> BUNKHOUSE❑ 59.692(1V)GAZEBO❑ STAIRS❑ FILLING/GRADING❑ CAMPING UNIT❑ <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION ❑I COMMERCIAL ACCESSORY STRUCTURE ❑ — <br /> STRUCTURE/ADDITION USE: 6?1I 4 NCS 3L � <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) IW <br /> BUILDING CONTRACTOR: /nJ.QA?y <br /> z < <br /> APLOT PLAN MUST BE PROVIDED ON AN 8 1/z X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS <br /> WILL BE RETURNED, <br /> n <br /> m <br /> DIRE. ALL FORPLOT <br /> DIMEPUNNSIONS <br /> DRAWING: (A CES O E SHOWVIEW) <br /> cl <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR <br /> BUILDINGS/STRUCTURES DRAWN SCALE ^ n? <br /> 2. SHOW THE LOCATION AND SIZENC ALL EXISTING PORCHANDOTHE (EB)AND ALL NEW o <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS,PORCHES AND OTHER STRUCTURES,AND INDICATE NORTH(N). O_ 'o Z <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)SUILDING(S)TO ALL LOT LINES, (B)BUILDING(S) <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK °C <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 DRAINFIELD(DF),AND ALL DISTANCES (� <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 <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. q� <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN i <br /> " NEEDED. C <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: c <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. <br /> 2. REMOVAL OR CUTTING OF LATREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. //0i F <br /> 3. NO GRADING ESS INCLUDING ALTERATIONS ARE ALLOWED UNLESS SPECIWITHIN <br /> THERE REQUIRED <br /> A <br /> 4. SE STRUCTURES,INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER -ILvI <br /> SETBACK AREA. <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. <br /> ]. j5E > nnnn ao � <br /> nrt8 ° 33 � R: <br /> knowleeMatthis nd liefi application correct ancomplete.ng any Iackng scM1edule)hatbeen examinresponetlbyr tandto uHebert of my 30 ,23 Ria <br /> knowledge contained <br /> i In this application(including <br /> complete. yaccompa yangge schedule) <br /> ule)and I fble urther thecountthat <br /> ti reccuracyognize of all cm& - m -] <br /> information p am providing <br /> will be <br /> erelied upon <br /> by the <br /> County mpanyingscbedule)aindterminneclare Mato recognize Mat. I _ 6c_ �"„ ' <br /> information Ism c _ Y <br /> prvvitling will be relied upon by[M1e County of Burnett Wisconsin in determining whether[o issue a permit. I < .P <br /> further accept all liability that maybes result of the dCounty with <br /> Burned ingcrelying <br /> county <br /> ordinances ro[arauthotling in this _ m <br /> application. I agree to permit county officials charged wiM atlministra[ing county oMinances or other authorized person W <br /> have access to the above-tlescrib premises atanyre able U7 for the purpose of inspection. <br /> OWNER'S SIGNATURE "' <br /> (date) - n a n o `_^ O <br /> o " 'L <br /> ZONING ADMINISTRATO 7_2814 5 <br /> TOWNSHIP PERMITS MAY BE REQUIRED fr <br /> _� RNET7 COUN <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUA ZONING _ <br />