Laserfiche WebLink
Burnett County 7410 Co.Rd. K,No. 102,Siren,WI 54872 Office of Zoning Administrator -a G) Z <br /> APPLICATION FOR LAND USE PERMITS . 4 <br /> / a <br /> OWNER py( O—r+ro— Il n�-�9y /� TELEPHONEC7 <br /> MAILING ADDRESS 3 Z <br /> aoq�i �- <br /> PROPERTY ADDRESS L: +J le I (c-- 09 <br /> 1 <br /> LEGAL DESCRIPTION(see tax receipt)L: r t / w�7�• (s.�i la�f ►..2 Isr 4ech:+.- 21, � <br /> I I I L I rp Ze L`ILe- Leo i� .�.s1.c 7'> 004'A�of re.A 1'a ade>fi m <br /> DWELLING/BUILDING GARAGE/ACCESSORY STRUCTURE 11 ADDITION El0.4-e-4' "-3 �•�� <br /> TYPE OFPERMIT(S): rf� Cl)v <br /> FILLING/GRADING 9 CAMPING UNIT ❑ SUBDIVISION ❑ n <br /> s - a G� <br /> STRUCTURE/ADDITIONUSE: v�'^G eo �<< y <br /> o' <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) m � <br /> BUILDING CONTRACTOR: �� c, <br /> c. Grp• e None S, <br /> z � <br /> m � <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INgOMPLETE OR � <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. T <br /> �� f! (� _X0-0 r/ 0 N <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) j�/////////�j / O C <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. I <br /> " <br /> a <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE <br /> m m o <br /> NORTH(N). <br /> n <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(8)BUILDING(S)TO m 3 <br /> CENTERLINE OF ROAD,(C)BUILDING(S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF <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 C\\ P <br /> BUILDINGS,ROADSP&AKE, LOT LINES. �l J <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 TOR, ETC.,THE PLANSn lit <br /> MUST BE SIGNED AND DATED BY THE OWNER. 1 J 5 I <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE V I ICATIO <br /> NEEDED. JULr� I c <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. B U ` : I!fI o <br /> CONDITIONS OF PERMIT: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMI' <br /> ISSUANCE. AZO /NY 1- O" <br /> I COUNT 1 <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. G <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY <br /> PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. ;A <br /> 5. <br /> 6. m m0/ oc� nf m <br /> CD 3 �mx mM <br /> �m C(0, C <br /> 7. Z y m o : o a <br /> o A M <br /> I declare that this application (including an accompanyingschedule has been examined b me and to the best of my <br /> �j O <br /> PP ( 9 Y ) Y <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of <br /> all information contained in this application(including any accompanying schedule)and 1 further declare that I recognize E m$ ? m <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- m i <br /> sue a permit. I further accept all liability which may be a result of the County of Burnett relying on this information i am <br /> providing in this application. I agree to permit county officials charged with administering county ordinances or other o <br /> authorized person to have access to the above de cribed premises at any reasonable time for the purpose of inspection. m c <br /> m o <br /> m <br /> SIGN HER 1,34 <br /> (sl a own or uilding ntrac or) (date) <br /> ZONING ADMINISTRATOR C '• <br /> N(Ac' O <br /> TOWNSHIP PERMITS MAY BE REQUIRED00 c'.�U;0000 <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE W si✓� <br /> 1 � <br />