Laserfiche WebLink
Burnett County 7410 Co. Rd. K, No. 102,Siren,WI 54872 Office of Zoning Administrator v C) -17 Z <br /> APPLICATION FOR LAND USE PERMITS 3 <br /> Ur <br /> H <br /> OWNER Wfc44eZ [� TELEPHONE <br /> ala/ v <br /> MAILINGADDRESS — <br /> o �(D <br /> PROPERTYADDRESS L/91)(9 g <br /> LEGAL DESCRIPTION(see tax receipt) lc� <br /> C, <br /> �0 <br /> DWELLING/BUILDING GARAGE/ACCESSORY STRUCTURE ❑ ADDITION ❑ ^ y o <br /> TYPE OF PERMIT(S): <br /> FILLING/GRADING CAMPING UNIT ❑ SUBDIVISION ❑ <br /> Lam <br /> STRUCTURE/ADDITIONUSE: <br /> (Home/Cabin; Commercial B siness;Bedroom; Deck;etc.) rn <br /> m <br /> BUILDING CONTRACTOR: wk c e— <br /> L 1 S <br /> M <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8/.X 11 SHEET OF APER. ANY INCOMPLETE OR <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. O <br /> DIRECTIONS FOR PLOT PLAN DRAWING (AERIAL OR TOP VIEW) O m <br /> T a <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. T z <br /> 0 <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE rn <br /> NORTH(N). C n <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 v <br /> LAKE,STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. Z <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES TO <br /> BUILDINGS, ROADS, LAKE, LOT LINES. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. CSN <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER,CONTRACTOR, ETC.,THE PLANS 0 <br /> MUST BE SIGNED AND DATED BY THE OWNER. � . o <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN <br /> NEEDED. v l <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. Z <br /> CONDITIONS OF PERMIT: 9 <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT Q <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 1 <br /> PERMITTED. ^� <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER C30 <br /> SETBACK AREA. <br /> 5. Necu �Owet to hAU{ mP-x e,� '� bad��,�+oo�S -O�•T� '�.3/-G <br /> 6. /O/ IUB`" '" eAU-v �/C-�� � � J m ani m o M a o m <br /> 8 9 nm yam x <br /> V Co. C y y 0 <br /> 7. Z y O : <br /> 9 T <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the best of my —�' ' ` A <br /> 0c � C <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of m n En <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize m o <br /> that this information 1 am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- Uj: m M <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 �: m:` <br /> providing in this application. I agree to permit county officials charged with administering county ordinances or other <br /> authorized person to have access to the above described premises at any reasonable time for the purpose of inspection. D <br /> -n o' . <br /> (DCD <br /> O <br /> SIGN HERE ALI <br /> C : <br /> signature n or building contracto. <br /> (date) <br /> ZONING ADMINISTRATOR <br /> (A fA EA <br /> NCn 00 <br /> CT (T <br /> 0 <br /> TOWNSHIP PERMITS MAY BE REQUIRED (TO0 <br />