Laserfiche WebLink
Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator I z <br /> APPLICATION FOR LAND USE PERMITS h <br /> Co - <br /> OWNER —r TELEPHONE <br /> -.JAMES R2EAULMR 5'10 -11 5-0147 <br /> MAILING ADDRESS 217 WALNUT IT. 6EARYV111E VA 11.61( 1 <br /> , <br /> PROPERTY ADDRESS Arab TbWER RD n <br /> FIRF NUMIRW 10217,430836 NEAR 1&170SECTIDIJ Or 14WY'77 <br /> r <br /> LEGAL DESCRIPTION CABIN WIT44 3 (TNQcy) our 61ANNG.S <br /> N <br /> SINGLE FAMILY DWELLING, GARAGE/ACCESSORY STRUCTURE10 ADDITION ❑ STAIRS O 2F. <br /> TYPE OF PERMIr(S): <br /> FILLING/GRADING ❑ CAMPING UNIT❑ BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ DECK❑ .y <br /> STRUCTURE/ADDITION USE: TRAC � . <br /> Home/Cabin• Commercial Business; Bedroom; Deck; etc.) c <br /> BUILDING CONTRACTOR: 1)WN ERAS 1 <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Vz X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS A C <br /> WILL BE RETURNED. c <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) a <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. M <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NEW C <br /> BUILDINGS/STRUCTURES (NB),INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH (N). o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDINGS) <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK e <br /> (OHWM) OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND (D) LOT DIMENSIONS. 5' <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES p <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. G' <br /> S. 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 <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN lJ" <br /> NEEDED. nl <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: r <br /> r 1 <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. �• (/� <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. z <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. <br /> 7. <br /> I declare that this application(Including any accompanying schedule)has been examined by me and m the best of my knowledgeS R()to 0 a d Od <br /> n a £ t11 <br /> and belief It Is true, <br /> on and complete. I acknowledge that I am responsible for the detail and accuracy of all Information c " n.2 >. <br /> contained In this application(Including any accompanying schedule)and I further declare that I recognize that this Information I e c w <br /> am providing will be relled upon by the County of Burnett Wisconsin In determining whether to Issue a permit. I further accept all <br /> liability that may be a result of the County of Burnett relying on this Information I am providing In this application. I agree to <br /> permit county officials charged with administrating county ordinances or other authorized person to have access to the above-• <br /> described premises at any reasonable time for the purpose of Inspection. 'C i,`.'.H H N <br /> n .c"S b <br /> OWNER'S SIGNATURE (9 .a 10 �i�/_L_t mit, M67 to <br /> �� <br /> ZONING ADMINISTRATOR " 1 m FIC 1116 <br /> TOWNSHIP PERMITS MAY BE REQUIRED o f <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br /> H_' V <br /> 7 <br />