Laserfiche WebLink
Burnett County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator _0 o 0 <br /> APPLICATION FOR LAND USE PERMITS 3. � <br /> OWNERCoe as s T713kj!1/AI�1 / 7i L/oeKZi TELEPHONE `7��9 0 Q <br /> MAILINGADDRESS Oyl XiAO 61f. Italyo& 1-k1 A7ey� /uh SS IlO o <br /> CD <br /> o <br /> PROPERTY ADDRESS 8 Q l t • V l/DW 1✓ d <br /> Parrel l Lcf .2 ,5eCOnd Addi7fidh Pardon Riut l- <br /> LEGAL DESCRIPTION(see tax receipt) rn <br /> CD <br /> DWELLING/BUILDING 1:1GARAGE/ACCESSORY STRUCTURE [?y ADDITION ❑ In ° <br /> TYPE OF PERMIT(S): ❑ cr o <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION <br /> ate_ o X, <br /> STRUCTURE/ADDITIONOSE: �0✓�42. — ° <br /> o <br /> (biome/Ca in; Cornmdcghl Business;Bedroom; Deck;etc.) Cn <br /> BUILDING CONTRACTOR: SP 1-F E <br /> v <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 81/2 X 11 SHEET OF PAPER. ANY INCOMPLETE OR T 3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. p <br /> M w <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) 0 a <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. m <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE <br /> NORTH(N). y 3 <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 Z <br /> LAKE,STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES TO <br /> BUILDINGS, ROADS, LAKE, LOT LINES. N�, <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. N O <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC.,THE PLANS ?� Q <br /> MUST BE SIGNED AND DATED BY THE OWNER. ° 0 l�✓J <br /> o� <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. o <br /> CONDITIONS OF PERMIT: ) <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT ! <br /> ISSUANCE. W <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. 1 <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY 1� <br /> PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> e. i/ This structure to be used as private residentialm d D) 0 M a m <br /> 6. �(� garage/storage only. Not to be used for human g. a a N N 3. "-- 3 <br /> habitation. Z 0. o : _2 1 <br /> 7. o T� ' m <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the best of my c C <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of a <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize m 0 mm <br /> that this information 1 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 m <br /> providing in this application. I agree to permit county officials charged with administering county ordinances or other <br /> authorized person to have access to the above described premises at any reasonable time for the purpose of inspection. o <br /> m m <br /> SIGN HERE 7'3 '007 <br /> a : <br /> (signatureof er o inq contractor) (date) <br /> ZONING ADMINISTRATOR r <br /> fA fAEA fA N <br /> N 0 0 <br /> 0 O <br /> (T (T (TO <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br />