Laserfiche WebLink
I <br /> Burnett Cbynty 7410 Co. lRd. K, No. 102, Siren, WI 54872 Office of Zoning Administrator d m a o <br /> APPLICATION FOR - LAND USE - PERMITS m ° <br /> TO THE ZONING ADMINISTRATOR:The undersigned hereby makes application for a Permit for the work described and <br /> located as shown herein. The ndersigned agrees that all work shall be done in accordance with the requirements of the 3 C -; <br /> Burnett County Land Use Ordin 3nce, Sanitation Code, and with all other applicable County Ordinances and the laws and - <br /> regulations of the State of Wisconsin. w <br /> (612( 426-1249 m O <br /> Jim WaAnecke TELEPHONE OWNER <br /> 132nd StAeet <br /> ADDRESS 7830 132nd StAeet Hugo, MN 55038 m <br /> EMERGENCY/FIRE NUMBER ROAD NAME CedaA Point Road <br /> LEGAL DESCRIPTION (see tax receipt) Lot 7 CSM VoP. 14 Pcj. 92 Section 20 T37N R18W U <br /> CONTRACTOR Town 0l) Ptade Lake <br /> TYPE OF PERMIT(S): DWELLING BUILDING GARAGE/ACCESSORY STRUCTURE ADDITION o <br /> n G� <br /> SANITARY x PRIVY FILLING/GRADING CAMPING U IT SUBDIVISION ° <br /> 0 <br /> STRUCTURE/ADDITION USE: SanitoAlf Onhi ( Irl'- lbim 1 I of� �C ° <br /> (Home/Cabin;Commercial usiness; Bedroom;Deck;etc.) z o <br /> o <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (Aerial or top view) <br /> 1. Show the location and size of all existing buildings (EB) and all new buildings (NB) and Indicate North (N). <br /> 2. Show the location of the well (W),septic tank (ST), and drainfield (DF). <br /> 3. Show dimensions in feet of thefollowing:(a) building to all lot lines,(b)buildingto center line of road,(c)building <br /> measurement to the ordinary high water mark of lake,stream,or river. Q <br /> 4. If separate plans are submitted by an architect,engineer,builder,contractor,etc.,the plans must be signed and X <br /> dated by the owner. Q o <br /> NOTE: BUILDING/STRUCTURE LOZATIONS MUST BE STAKED FOR ONSITE VERIFICATION BEFORE A PERMIT CAN BE ISSUED. 1I v N <br /> PLOT PLAN ° ' <br /> �y <br /> PN <br /> . <br /> SEE ATTACHED <br /> �J <br /> N <br /> O <br /> 7 <br /> m f <br /> y <br /> U� <br /> 1 D <br /> � r <br /> c -...�i �0 a :E <br /> m 33 <br /> CONDITIONS OF PERMIT: a m y,; c 3 <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT ISSUANCE. z m ° ' ' 9'z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. F ° ° - N '` 33 <br /> 3. NO GRADING OR SHO LAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. N a m <br /> o : gE O <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my knowl- —)'k o y� <br /> edge and belief it is true,corr ct and complete.I acknowledge that 1 am responsible for the detail and accuracy of all informa- m <br /> tion contained in this applica ion(including any accompanying schedule)and I further declare that I recognize that this infor. 1: B ` O <br /> motion I am providing will b relied upon by the County of Burnett Wisconsin in determining whether to issue a permit. I r ! cg : <br /> further accept all liability whi h may be a result of the County of Burnett relying on this information I am providing in this ap- <br /> plication.I agree to permit cc my officials charged with administering county ordinances or other authorized person to have O <br /> access to the above described premises at any reasonable time for the purpose of inspection. ` O 3 nmn <br /> T � y O <br /> m m <br /> SIGN HERE (trade R dham 4/.19194- <br /> a? <br /> ( f at a of ow r building contractor) - . (date) <br /> ZONING ADMINISTRATOR ` ` ' g x <br /> ��p «. m <br /> TOWNSHIP PERMITS MAY BE REOUii�4 � APR Z O o un 9'+ N <br /> Soo$ oi cn <br /> an <br /> X x <br /> I o <br />