Laserfiche WebLink
Burnett County 7410 Co. Rd. K, No. 102,Siren,W154872 Office of Zoning Administrator -0 G) Z <br /> APPLICATION FOR LAND USE PERMITS . <br /> w o <br /> 00 <br /> P m <br /> OWNER \� 9� I�N 7— ��.Z TELEPHONECD <br /> v <br /> MAILING ADDRESS 96g41 #yde A✓c s C'0&5e 91-oye MN 55016 <br /> PROPERTY ADDRESS y// ���— &QS 15 ke 80 JOAVAup <br /> S /3 "Tqa 7 <br /> 0 0 <br /> . lP. i7 <br /> LEGAL DESCRIPTION(see tax receipt) V Lq-�— <br /> Cn <br /> DWELLING/BUILDING ❑ GARAGE/ACCESSORY STRUCTURE ❑ ADDITION <br /> 0 <br /> TYPE OF PERMIT(S): c <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ UBDIVISION El �a/` 36 Cr <br /> S. <br /> STRUCTURE/ADDITIONOSE: _ ( ff / Aiz o <br /> (Home/Cabin;Commercial usiness; Bedroom; Deck; etc.) m [y�, . <br /> ,r { <br /> BUILDING CONTRACTOR: �7 K U/��i CJI //L!/ �Y '0�s'&. Al fV C w <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR (D <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. -n <br /> M N <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) p m <br /> T n <br /> ?� O Z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE <br /> m m <br /> NORTH(N). C 0 <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO m v <br /> CENTERLINE OF ROAD,(C)BUILDING(S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF Z <br /> LAKE,STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. o <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES TO k <br /> BUILDINGS,ROADS, LAKE, LOT LINES. W (\' <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. N � <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER,BUILDER,CONTRACTOR, ETC.,THE PLANS i 0 1 <br /> MUST BE SIGNED AND DATED BY THE OWNER. o <br /> ,S v 4 <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN g <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. oZ <br /> CONDITIONS OF PERMIT: I (Q <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT _ v <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 <br /> SETBACK AREA. <br /> 5. "� -,deP�c Cra.ur%V VVIDi1,"d > 7 <br /> 6. m w m 0 2 n f m <br /> O O <br /> m 3 CL 10D Wnm >1 <br /> m C y <br /> 7. Z m m <br /> M <br /> I declare that this application (including an accompanyingschedule has been examined b me and to the best of my 2 O <br /> PP ( 9 Y ) Y <br /> knowledge and belief it is true, correct and complete. I acknowledge that I am responsible for the detail and accuracy ofr�i C <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize iCL o r m <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- <br /> sue a permit. I further accept all liability which may be a result of the County of Burnett relying on this information I am <br /> providing in this application. I agree to permit county officials charged with administering county ordinances or other m <br /> authorized person to ha ccess to the abo a de r bed premises at any reasonable time for the purpose of inspection. m <br /> m <br /> o : <br /> CD <br /> SIGN HERE <br /> ji <br /> (signatur owner or building <br /> contractor) (date) a <br /> ZONING ADMINISTRATORro <br /> 69 <br /> QY2 CA0 <br /> � TOWNSHIP PERMITS MAY BE REQUIRED <br /> T IS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE (0`�- S <br /> (0112 IV43/tCL.q <br />