Laserfiche WebLink
ON COMPUTERiSCANNED <br /> Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator z <br /> APPLICATION FOR LAND USE PERMITS <br /> 0 <br /> OWNER Richard Berg TELEPHONE 651-429-9525(TC)715-866-4073(Webster) d <br /> MAILING ADDRESS 2341 East County Road F White Bear Lake,Minnesota 55110 (jJ o <br /> o V <br /> PROPERTY ADDRESS 3631 County Road A Webster,Wisconsin 54893 r <br /> o_ _ <br /> LEGAL DESCRIPTION S24,T40,R15 LOT 3 CSM V 14 P 86(GOV LOT 6) <br /> S24,T40,R15 LOT 4 CSM V 14 P 86(GOV LOT 6) r <br /> DWELLING/BUILDING❑ GARAGE/ACCESSORY STRUCTURE X ADDITION ❑ STAIRS ❑ o <br /> TYPE OF PERMIT(S): <br /> FILLING/GRADING❑ CAMPING UNIT❑ BUNKHOUSE❑ 59.692(1V)GAZEBO❑ DECK❑ <br /> Cn <br /> STRUCTURE/ADDITION USE: Garage o <br /> (Home/Cabin; Commercial Business; Bedroom; Deck;etc.) o <br /> BUILDING CONTRACTOR: Self <br /> r � w <br /> 0 <br /> A PLOT PLAN MUST BE PROVIDED ON AN 81/2 X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS .� 10( <br /> Q <br /> WILL BE RETURNED. 0 <br /> 0 I� <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) � 0 C <br /> 5 0' <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. tA�i 7 d <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW N' <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, l� <br /> AND INDICATE NORTH(N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S) n <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK <br /> (OHWM)OF LAKE,STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. z C> <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. o p <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. V`i <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER, BUILDER,CONTRACTOR,ETC.,THE y Q; <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. ( , <br /> 0 <br /> 0 <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN w <br /> NEEDED. Z1 a <br /> o <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: w g a C <br /> o y 6 <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. ° C <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. G < <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. W <br /> NOT TO BE USED FOR HUMAN HABITATION. d <br /> 6. L ofS 3 +L4 CannO+ be so(d � �� un lei -�he arc�o�� �5 mvv� <br /> �. ©r 1 - (ii'6 chanoec to show 5z ba rlWirenvoQ r� �-- ° a <br /> N y g 0 y r <br /> c � C� aro <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my knowledge <br /> and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all information `D o <br /> contained in this application(including any accompanying schedule)and I further declare that I recognize that this information I „ <br /> am providing will be relied upon b the County of Burnett Wisconsin in determining whether to issue a permit. I further accept all 6 <br /> P 9 Po Y tY 9 Pe Pt <br /> liability that may be a result of the County of Burnett relying on this information I am providing in this application. I agree to permit <br /> county officials charged with administrating county ordinances or other authorized person to have access to the above-described o (� <br /> premises at an reasonable time for the purpose of inspection. v, 3? <br /> ry <br /> 121 <br /> O <br /> SIGN HERE (signature of ow of building contractor) (date) b9 o^ a a ►� <br /> 0 <br /> ZONING ADMINISTRATOR `/l m �! <br /> w < <br /> c <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> N 604 <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE G o N o <br /> j 3 o'Ll <br />