Laserfiche WebLink
fi <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator g Fb <br /> APPLICATION FOR LAND USE PERMITS <br /> I <br /> OWNER TELEPHONE —Ub3-241-3'1\\ <br /> �J (�\\PH.0 i r - (Ix7 -S`1S - <br /> 0 <br /> MAILING ADDRESS olb4! O <br /> gr9e,.: Aw (�l£ OiScc�- m � T3330 3 <br /> PROPERTY ADDRESS <br /> -%.,A 3 Gruvr: '%...A <br /> LEGAL DESCRIPTION Le Ir 'S CV(O 92H-7-.) Zr (.Y� �.p,{ 5 <br /> TYPE OF PERMIT(5): SINGLE-FAMILY DWELLING 0 ADDITION 0 DECKE] GARAGE/ACCESSORY STRUCTURE 0 } <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBD❑ STAIRS ❑ FILLING/GRADING❑ CAMPING UNIT}rl. <br /> v <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY$TRUCNRE ❑ <br /> STRUCTURE/ADDITION USE: <br /> ( \ke Zd"'NHome/CabQfmjrn. ! c <br /> Busm``ess, Bedroom; Deck; etc.) <br /> BUILDING CONTRACTOR: I n <br /> f o <br /> A PLOT PLAN MUST DE PROVIDED ON AN a Va X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS a o <br /> WILL BE RETURNED. a <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP EW) n <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES I TI BE SHOWN S/DRAWN TO SCALE. r,0 <br /> 2. SUILDIN E LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NEW <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, v vp <br /> AND INDICATE NORTH (N). I N () ` <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) (S)TO THE TO ALL LOT LINES,(B)BUILDING(S) �lJ ( ZoSL}•I <br /> TO CENTERLINE , ROAD,(C)BURRING MEASUREMENTS)TO THE ORDINARY HIGH WATER MARK - <br /> (OHWM) OF LAKE,STREAM O0.RIVER AND SEPTIC <br /> TD AREAS,AND(D) LOT DIMENSIONS. p. <br /> 4. SHOW THE LOCATION , THE WELL(W), $EPTC1TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES g <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES, t <br /> m <br /> 5. INDICATEIF TEA WALKOUT BASEMENT ISP NA ARCHITECT, <br /> SHOW AREAS TOLD GRADED OR FILLED. _ 1 <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEE0., BUILDER, CONTRACTOR, ETC.,THE <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. ( �, <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSTIE VERIFICATION MY BE DONE WHEN Ill <br /> NEEDED. <br /> THis PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BEI W: d <br /> IV <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. UI <br /> z <br /> 2. REMOVAL OR CUTTING TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. n C5 <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE'ALLOWED UNLESS SPECIFICALLY PERMITTED. �A D <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS;ETC.,ALLOWED WITHIN THE REQUIRED WATER 'fl JI <br /> SETBACK AREA. I <br /> —5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. ^^ / £ <br /> 7. MA / zp ^onnnaov <br /> ovd3 o j ,'3333 � a_ m <br /> I declare Mat thisapplkatlon(Nd 'ng any acoanpanykg s edule)has bperl mmkMd by me and m the best a my _ 9 e?wB <br /> knedpe and belief It Is true,mrert and m Pkte. I admowLdge Mat L am respm a Tar Me debll and a=mW of all m <br /> Irdormatlm contahxH In MIs aPPlicatlon(IntludNp any acoa Par ying s edule)and 1 NrUW declare Mat 1 rempnhe that MIs <br /> Nadler <br /> Tam pablRy t will be relied upon by the Conty of Bwnet Wlswigm Indk annaing,I m prtoftg Iapermtt. 1 <br /> Nrther a=pt all IlatlllRy Ma[my be a resuh of Me Counq'of BurnAt relylnp on Bds MNmatlon 1 am pmNdh�p M MIs <br /> appll W I I spree m permR spumy olRtlals Merged with adminbtratlnu rants o lap"e or oMer auMomed person M have ^ �' o t' <br /> aces m Me alarve-dr..vlbed PremLsa a[aM reasonable tlme for Me purpose of h<�edion. o w� S $? " <br /> OWNER'S SIGNA7U c+ T <br /> ZONING ADMINISTRATOR <br /> TOWNSHIP PERMS MAY BE R, EQUIREp JUN 9 2014 <br /> PERMITS <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF I <br /> ETT COU uu=� <br /> ZONING <br />