Laserfiche WebLink
Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS M <br /> OWNER TELEPHONE 65 -50 j <br /> MAILINGADDRESS <br /> PROPERTYADDRESS n k <br /> -j(b4 �01 <br /> LEGAL DESCRIPTION esm \jaa Nt (t'-3�7SO9) CNF- 11JW) <br /> TYPE OF PERMITS). SINGLE-FAMILY DWELLING 0 ADDITION Ok DECK 0 GARAGE/ACCESSORY STRUCTURE <br /> BUNKHOUSE 0 59.692(lV)GAZEBO 0 STAIRS 0 FITING/GRADING 13 CAMPING UNIT El F1 <br /> COMMERCIAL BUILDING 0 COMMERCIAL ADDITION 0 COMMERCIAL ACCESSORY STRUCTURE 12 <br /> JaDy� <br /> STRUCTURE/ADDITION USE: `�4 &/ml <br /> (Home/CaabV,"Comi�Bs n k <br /> BUILDING CONTRACTOR: <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 lh X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PLAN DRAWING: ARIALORTOPVIEW) <br /> 1, ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE <br /> or T, <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES HEB) AND ALL NEW 11 <br /> BUILDINGS/STRUCTURES (l INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, C, <br /> AND INDICATE NORTH (N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, E) BUILDING(S) 1� <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK DO I C�N <br /> (OHWM) OF TAKE, STREAM OR RIVER AND WEILAND AREAS, AND (D) LOT DIMENSIONS. I <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK (ST) AND DRAINFIELD HDF), AND ALL DISTANCES <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. c <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 <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <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. <br /> 3. NO GRADING OR SHOREILAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. <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. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6 <br /> > <br /> e 1 IF . <br /> I declare that this apPlicatlon(including any accompanying schedule)has been examined by me and to the best of My <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all to 2= <br /> information contained In pos application(including any amomparyIng schedule)and I further dedam that I recognize that this <br /> information I am providing will be Pulled upon by the County of burned Wisconsin In determining whether to Issue.parmt. I L 'ec <br /> further accept all flaollty,that may be a result Of the Opunty of Burnett talking on ths Information I am providing in this <br /> :pplicctio,. I agree to parralt county officials charged with administrating county Ordinances or other authomead person to have <br /> ccess to the sturive-described premises at any reasonable I far the purpose of Inspector. <br /> �69 <br /> OWNER'S SIGNATURE:�� <br /> ZONING ADMINISTRATOR <br /> 013- <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMrF SHALL EXPIRE ONE YEAR FROM DATE OF ISS@Wj'tt&TT COUNTY I <br /> ZONING <br />