Laserfiche WebLink
Burnett County 7410 Co. d. K, No. 102, Siren,WI 54872 Office of Zoning Administrator d m o 0 <br /> APPLICATION FOR LAND USE PERMITS 3. <br /> TO THE ZONING ADMINISTRATOR: The undersigned hereby makes application for a Permit for the work <br /> described and located ass own herein. The undersigned agrees that all work shall be done in actor- 3 � \ <br /> dance with the requirements of the Burnett County Land Use Ordinance,Sanitation Code,and with all other <br /> applicable County Ordinances and the laws and regulations of the State of Wisconsin. y w <br /> OWNERFL <br /> Tll� 444 �•e Frond TELEPHONE �!Z 322 LOGO o m <br /> HOME ADDRESS `{ <br /> 1390,y Ess:� <br /> MN <br /> EMERGENCY/FIRE NUMBER e<>avn LGvCQ ROAD NAME �- <br /> LEGAL DESCRIPTION(see tax re ipt) LOf Z CS-In 11614AMe /3 <br /> /95 <br /> CONTRACTOR <br /> CD G7 <br /> TYPE OF PERMIT(S): DWELLING _. Y BUILDING GARAGE/ACCESSORY STRUCTUREADDITION 0 <br /> y O <br /> O <br /> SANITARY PRIVY--FILLING/GRADING CAMPING UNIT SUBDIVISION _Um <br /> Z <br /> /� o M <br /> STRUCTURE/ADDITION USE: \``� tM �S I—ag't.e <br /> (Home/Cabin; Commercial Business; Bedroom; Deck;etc.) <br /> 0 <br /> A PLOT PLAN MUST BE PROVIDED ON A SEPARATE SHEET OF PAPER. ANY INCOMPLETE OR <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. m Q J <br /> ;a ° CDIRECTIONS FOR PLOT PLAN DRAWING: (Aerial or top view) p 3 <br /> -n 'P u, <br /> 1. All required dimensions or distances to be shown or drawn to scale. n <br /> P a <br /> 2. Show the location and size of all existing buildings (EB)and all new buildings(NB)and indicate m y: <br /> North (N). y �5 ° <br /> 3. Show dimensions in feet of the following: (a) building(s) to all lot lines, (b) building(s)to centerline of m I <br /> road, (c) building(s) measurement to the ordinary high water mark(OHWM)of lake, stream or river. <br /> 4. Show the location of the well (W), septic tank(ST)and drainfield (DF), and all distances to buildings, — <br /> roads, lake, lot lines. 3 <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 plans must be - 0 <br /> signed and dated by the owner. ` n, <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED FOR ONSITE VERIFICATION BE- 75 ° <br /> FORE A PERMIT CAN BE ISSUED. <br /> o <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. <br /> CONDITIONS OF PERMIT: o <br /> N <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT <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 Z <br /> PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN 75 FEET OF THE <br /> OHWM OF LAKES, PONDS, RIVER UNLESS SPECIFICALLY PERMITTED. <br /> 5. <br /> 6. <br /> z oc� wwn m <br /> 7. Mq „ _ OD <br /> J G _ ?1 rn <br /> 8. $ l�/ <br /> Lac : <br /> �� ► °�� <br /> oo : m C <br /> ,clave that this application (including any accompanying schedule) has been examined by me 2nd to the best of my y m <br /> fledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of <br /> 9 P 9 P Y <br /> wmation contained in this application(including any accompanying schedule)and I further declare that 1 recognize oCD <br /> o <br /> c information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- i i i o : o <br /> rmit. I further accept all liability which may be a result of the County of Burnett relying on this information I am n p <br /> in this application. I agree to permit county officials charged with administering county ordinances or other m <br /> person to have access to the above described premises at any reasonable time for the purpose of inspection. ' vRD '• n <br /> tur of owner o u Ing contractor) (date) 0 <br /> RATOR <br /> tntnj'E»• EAj' � <br /> TOWNSHIP PERMITS MAY BE REQUIRED N N 0 N N o m <br /> 0 0 0 0 0 0 0 N <br />