Laserfiche WebLink
Burnett County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator -0Gi Z <br /> APPLICATION FOR LAND USE PERMITS 3 ° ° <br /> r <br /> y o Q <br /> OWNER SIC f"F� �?Fiw \ li� eke TELEPHONE <br /> L� �{ "7g� <br /> MAILING ADDRESS 'Z� L� 1 1 � f ) ►.t-. I(7;� � ,r, m ,� Q <br /> PROPERTY ADDRESS S� �{�� a <br /> 10 AL-e.5 2-9Q <br /> LEGAL DESCRIPTION(see tax receipt) � q o t of /����nT �yb,I��c LS ►y1 i U) <br /> IT�eiRib wi D ° <br /> DWELLING/BUILDING GARAGE/ACCESSORY STRUCTURE � ADDITION ❑ Tct7 0 <br /> TYPE OF PERMIT(S): C <br /> FILLING/GRADING ❑b CAMPING UNIT ❑ SUBDIVISION ❑ n <br /> STRUCTURE/ADDITION USE: S TO ILA 5 E o <br /> j� (Home/Cabin; Commercial Business; Bedroom; Deck, etc.) 0) _ <br /> BUILDING CONTRACTOR: r 5T E,S b VJ L00js T— <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. OT <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) p y <br /> O a <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. n ? <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS (EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m ;bNORTH(N). - 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 <br /> LAKE,STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. G Z <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES TO , Y ° <br /> BUILDINGS, ROADS, LAKE, LOT LINES. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER,CONTRACTOR, ETC.,THE PLANS O <br /> MUST BE SIGNED AND DATED BY THE OWNER. --4 0 <br /> o 0 t <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN o <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. Z <br /> CONDITIONS OF PERMIT: P <br /> A <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT 4 O <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 J <br /> PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.. ALLOWED WITHIN THE REQUIRED WATER Q <br /> SETBACK AREA. <br /> s. This structure to be used as private residential <br /> garage/storage only. Not to be used for human ;U W C) r n o a o v <br /> 6. habitation. 9 a MO 0, a M z <br /> 7. a ; m cy o 3 <br /> Z R m o <br /> I declare that this application (incluumg any dcc°mpdnymg scneauje) nas ween exammea Dy me ana to the best of my cn : sus ; p <br /> knowledge and belief it is true, correct and complete. I acknowledge that I am responsible for the detail and accuracy of n v c <br /> all information contained in this application(including any accompanying schedule)and 1 further declare that I recognize m r�rt <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- ' m in O <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 : o <br /> providing in this application. I agree to permit county officials charged with administering county ordinances or other m CD <br /> authorized person to have access to the above described premises at any reasonable time for fm <br /> -n ° <br /> SIGN HERE D a <br /> In n <br /> gn ure of or building contractor) date) p <br /> ZONING ADMINISTRATOR <br /> r8; <br /> �'en in���fffAAA���fff isr`�n�i <br /> O N UI'4y W N O <br /> TOWNSHIP PERMITS MAY BE REQUIRED o cn o � u, o <br /> BURNETTCOUNTY <br /> THIS PERMIT SHA L EXP R N YEAR FRO DATE OF I SUA <br />