Laserfiche WebLink
Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator z <br /> APPLICATION FOR LAND USE PERMITS a <br /> OWNER TELEPHONE <br /> J w <br /> MAILING ADDRESS <br /> S�oona2t we S �-tgol I o <br /> PROPERTY ADDRESS t3 <br /> (Le J n )ZA�CJ C S ace In 2 2 , ws S 4 g 6 1 <br /> LEGAL DESCRIPTION - <br /> $2¢ O.44Ct�a.� ri Q ( c <br /> SINGLE FAMILY DWELLING GARAGE/ACCESSORY STRUCTURE ❑ ADDITION PI STAIRS O o m <br /> TYPE OF PERMIT(S): ,2 <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ DECK Cl <br /> STRUCTURE/ADDITION USE: I�n� X i �� SLfttr f 0•'t-G� Z <br /> (Home/Cabin; <br /> ;J Commercial Business; Bedroom; Deck; etc.) c ° <br /> BUILDING CONTRACTOR: L e—C <br /> .�sPLn .�+ SF, S cion (/L .�,= S•t �o� — �t�-�3S- c%lCAS • <br /> A PLOT PLAN MUST BE PROVIDED N AN 8 'h X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS Yy y Q WILL 1— <br /> BE RETURNED. C <br /> 7J � <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) °— <br /> +� c <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. m O <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NEW <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURESm w <br /> AND INDICATE NORTH (N). , <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDINGS) n <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S) TO THE ORDINARY HIGH WATER MARK 9 <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS, AND (D) LOT DIMENSIONS. N <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK(ST)AND DRAINFIELD (DF),AND ALL DISTANCES y o <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. w. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. O —7 <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. l <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. <br /> THIS PERMIT IS SUBIECT TO ALL CONDITIONS LISTED BELOW: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. z <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 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 /> ^ py >nw p9 o b <br /> 7. <br /> ,3 b <br /> I declare that this appllcatlon(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 <br /> contained In this appllcatlon(Including any accompanying schedule)and I further declare that I rewgnlze that this Information I w <br /> am provlding will be relied upon by the County of Burnett Wisconsin In determining whether to Issue a permit. I further accept all <br /> liability that may be a result of the County of Burnett relying on this Informatlon I am provlding In this appllcatlon. I agree to <br /> perml[county ofFlclals charged with adminlstratlng county ordinances or other authorized person[o have access to the above- o <br /> tles[dbed premises a[any reasonable[Ime(ar the Durpose of In pectlan. m u, �� o <br /> OWNER'S SIGNATURE ��✓'�" ' Y S �° O <br /> T d P ; a <br /> ZONING ADMINISTRATOR <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSBA)METT CAUN <br /> w gNti� <br /> � o <br /> ZONING <br />