Laserfiche WebLink
Burnett County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator 0 o <br /> 14. <br /> APPLICATION FOR LAND USE PERMITS r <br /> � Jn <br /> �0 �7 KAE �ARCYcR TELEPHONE CZ(oL� S�vv�` ��� 0_ <br /> 015 <br /> ESS $( WilS OC-CX��OI�101t�C� 151. S'�fJ(� CD <br /> r <br /> 0 <br /> FIRE NUMBER &BER ROAD NAME <br /> UCsm V/0 N <br /> !ON(see tax receipt) m <br /> A <br /> o <br /> c <br /> DWELLING/BUILDING GARAGE/ACCESSORY STRUCTURE ❑ = <br /> ADDITION PRIVY or <br /> O (� n <br /> �\ S FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION ❑ v T. <br /> STRUC` O .4 USE: O <br /> (Home/Cabin; Commercial Business; Bedroom;Deck;etc.) m <br /> BUILDINt <br /> m <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 81/2 X 11 SHEET OF PAPER. ANY INCOMPLETE OR -n <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. A V' <br /> O m <br /> n <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) n v z <br /> " J � <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. In <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE C 0 <br /> N 3 <br /> NORTH(N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO m <br /> CENTERLINE OF ROAD,(C)BUILDING(S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF o <br /> LAKE,STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. (ti <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES TO v <br /> BUILDINGS,ROADS,LAKE, LOT LINES. N <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 PLANS 2. 0 <br /> � f <br /> MUST BE SIGNED AND DATED BY THE OWNER. o 0 <br /> T o <br /> NOTE: BUILDINGISTRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAYBE DONE WHEN a \ <br /> NEEDED. <br /> Z <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. � r <br /> CONDITIONS OF PERMIT: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT / <br /> ISSUANCE. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY <br /> PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER G <br /> SETBACK AREA. <br /> n � C W M 0 ° a f m <br /> 5. /v6,..`/' OLD � 3 a 2 OX T. x <br /> 6. y r. <br /> 0 0- <br /> Z ; 0 1 <br /> T� m <br /> - U) C) <br /> 7. <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the best of my \ cresponsible for m <br /> curacy of <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am <br /> schedule)and I further declare that e detail and lcrecognize v p <br /> all information contained in this application(including any g cousin in determining whether to is- <br /> )o V <br /> that this information I am providing will be relied un by f r on this information I am w <br /> sue a permit. I further accept all liability which may be a I t my ordinances or other <br /> providing in this application. a CD <br /> I agree to permit county o c' Is cha <br /> authorized person to have access to the above described r ises a*n y reasona t t purpose of inspection. m <br /> APR 2 0 2001 <br /> SIGN HERE (date) <br /> (sign f owner or building co <br /> ZONING ADMINISTRATOR C �1 <br /> WNSHIP PERMITS MAY BE REQUIRED <br />