Laserfiche WebLink
L <br /> Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS - <br /> OWNER_� <br /> TELEPHONE 1 - lis-sero-i�a0 <br /> MAILING ADDRESS 04-7 Q JJ <br /> C p �� <br /> L nc �t �/�ec� eV (c WE 6HX37 <br /> PROPERTY ADDRESS hIe— <br /> LEGAL DESCRIPTION C�i /l /[I ].J��\�—G) SLCSl�T <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING O ADOIIWN O DECK GLE/ACCESSORY STRUCTURE❑ <br /> BUNKHOUSE 13❑ 59.692(IV)GAZEBO 0 STAIRS 0 FILLING/GRADING❑ CAMPING UNIT❑ � <br /> COMMERCIAL BUILDING 0 COMMEppRCIA�L/�DDI ENN 0 COMMERCIAL ACCESSORY STRUCTURE 0 - <br /> STRUCTUREJADDIITON USE: _ CIU <br /> erg( {�J6G}� <br /> BUILDING CONTRACTOR: <br /> C�e i (Home/Catlin;Canmerclal Business; Bedroom; Deck;etc.) <br /> z < <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8'/a X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS <br /> WILL BE RETURNED. <br /> n _ <br /> DIRECTIONS FOR PLOT PIAN DRAWING: (ARIAL OR TOP VIEW) <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. r — <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW <br /> BUILDINGS/STRUCTURES(NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH(N). > c <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES, (B)BUILDING(S) <br /> TO CENTERLINE OF ROAD,(Q BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK ) <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS. . <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES ,TO BUILDINGS, ROADS, LAKE, LOT LINES. m <br /> 5. INDICATE IF A WALKOUF BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. <br /> 6. IF SEPARATE PIANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER BUILDER,CONTRACTOR,ETC.,THE <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. <br /> NOTE: BUILDING/STRUCTIURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> L DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. _ x <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. Z <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. O <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. r/V <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. , <br /> 6. <br /> /. z > > <br /> I dectare that this application(including any accompanying schedule)has been examined by me and to the best of my <br /> knowledge and <br /> contained <br /> it in true,co this applicectand mudinga y accoowledge mpanying at I scheale)and I Further <br /> er teeare that <br /> Irecogaq that afall —_ - <br /> information containeddi this mlionuponby the county <br /> unty of Burnett <br /> Wisconsin itletrminingdareherto iissueazermit. Is - = — <br /> furtheationIam providing will hat be,aupon by sCountyfBurnett WisconsinindeterminingwM1ethertoissueaPermitI <br /> further acceion. I agree <br /> rliabilityIP Mat may be a resins of Ned with administrating f Burnett relyicounty <br /> this information r other authorized! <br /> providing in _ L i it— '^{^„ S <br /> haveapplances. otheetoe-destcounty officials chargedwithiefothe puMose of inasornMer auMorizetl perun[o = > —__ L' <br /> have guess to Me above-cesaib tlpremiuz a[any eaunab�time for the purpose of inspection. — D ^ N uun <br /> C j <br /> OWNER'S SIGNATURE — rn• µ �3 w o 8 0 ,,,I <br /> (date) L61,066UT <br /> l — <br /> ZONING ADMINISTRATOR Gl ED.__n^Qt3 <br /> TOWNSHIP PERMITS MAY BE REQUIRED pLlo <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUAntIBNETT COUNTY ? , <br /> ZONING uu _ = <br />