Laserfiche WebLink
Burnett County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator - 0 0 <br /> APPLICATION OR LAND USE PERMITS 3 <br /> j pCJ�i C�'� r <br /> N � <br /> r/ <br /> (D <br /> OWNER C <br /> (D <br /> Q TELEPHONE / �C1J J �� n <br /> U) <br /> MAILINGADDRESS/w ,S r (D O <br /> 0 <br /> PROPERTYADDRESS e � \ o <br /> LEGAL DESCRIPTION(see tax receipt) 3"' m <br /> V CD <br /> DWELLING/BUILDING ❑� GARAGE/ACCESSORY STRUCTURE ADDITION ❑ Cn o 9� <br /> TYPE OF PERMIT(S): or <br /> FILLING/ DING CAMPING UNIT ElS BDIVISION 1:1�j� / / , / N <br /> STRUCTURE/ADDITION USE: �(/ ° <br /> (Home4Qabin; Commercial Business; Bedroom; Deck; etc.) m <br /> BUILDING CONTRACTOR: t� <br /> v <br /> m <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 81/2 X 11 SHEET OF PAPER. ANY INCOMPLETE OR <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. T <br /> O — <br /> N <br /> DIRECTIONS FOR PLOT PLAN DRAWING_ (AERIAL OR TOP VIEW) O a <br /> n <br /> T Z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. m <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE <br /> NORTH(N). y o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B) BUILDING(S)TO m 3 <br /> CENTERLINE OF ROAD, (C)BUILDING(S) MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF Z <br /> LAKE,STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES TO O <br /> BUILDINGS, ROADS, LAKE, LOT LINES. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. N <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER,BUILDER,CONTRACTOR, ETC.,THE PLANS <br /> MUST BE SIGNED AND DATED BY THE OWNER. f <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN o W <br /> NEEDED. <br /> r� <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. Z <br /> CONDITIONS OF PERMIT: o (� <br /> I � <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 <br /> PERMITTED. t <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> 5. <br /> M m � > O a 0 IV <br /> 6. m s3 <br /> .0 A <br /> ON D C y00 : 5 <br /> 7. Z N m 20 <br /> P m Tom : Z7 <br /> - rn : m <br /> 1 declare that this application (including an accompanyingschedule has been examined b me and to the best of m A <br /> PP (� 9 Y ) Y Y G> <br /> knowledge and belief it is true, correct and complete. I acknowledge that 1 am responsible for the detail and accuracy of n » <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize c m0 <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is C <br /> sue a permit. 1 further accept all liability which may benreof the County of Burnett relying on this information I am m o <br /> providing 1 application. to permit Cour charged with a to ' other <br /> authorize perso tohav acce the above descr' ses at any r s k e tion. ° n <br /> m <br /> m D <br /> <n n <br /> SIGN HE // (��[ o <br /> (signature of owner or buildin ntractor) SEP 2 LWdate <br /> $ ) <br /> r <br /> ZONING ADMINISTRATOR lcofl <br /> a fA� EA EA <br /> BURNETT COUNTY <br /> �/�pONCJ1 W W NO <br /> r{ O (T O U1 U1 Ul O <br /> TOWNSHIP PERMITS MAY BE REQUIRED ZONING V <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br /> Alai Ind -f��ncks �1'-�a-off <br />