Laserfiche WebLink
Burnett County 7410 Co. Rd. K, No. 102, Siren, WI 54872 Office of Zoning Administrator U 3 £ a <br /> APPLICATION FOR — LAND USE — PERMITS z _ o <br /> TO THE ZONING ADMINISTRATOR:The undersigned hereby makes application for a Permit for the work described and c <br /> located as shown herein. The undersigned agrees that all work shall be done in accordance with the requirements of the CR <br /> 3 n <br /> Burnett County Land Use Ordinance,Sanitation Code, and with all other applicable County Ordinances and the laws and <br /> 0 <br /> regulations of the State of Wisconsin. `" m <br /> N m <br /> n L_/O <br /> OWNER M2chaet 9 MaAitynn Va.2Q TELEPHONE (612) 433-2719 0 �r <br /> ADDRESS 1410 Quant Avenue Ma,2jne on St. Cno-ix, MN 55047 <br /> ROAD NAME - , <br /> EMERGENCY/FIRE NUMBER (Vers yek.Eow R2veh Road <br /> (�. <br /> LEGAL DESCRIPTION (seetaxreceipt) Lot 19 Riven Oaks SubdiviZion, Sec.7, T40n,R76W, Town <br /> o� Oaktand 4j <br /> CONTRACTOR <br /> TYPE OF PERMIT(S): DWELLING/BUILDING GARAGEJACCESSORY STRUCTURE ADDITION o <br /> � o (JJ <br /> SANITARY x PRIVY FILLING/GRADING CAMPING UNIT SUBDIVISION o ^ <br /> m r <br /> 0 <br /> °Onl <br /> ttaht y <br /> S <br /> STRUCTURE/ADDITION USE: anv <br /> (Home/Cabin;Commercial Business,Bedroom; Deck;etc.) z <br /> o ° <br /> �T <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). U <br /> 2. Show the location of the well (W),septic tank (ST), and drainfield (DF). <br /> 3. Show dimensions in feet of the following:(a) building to all lot lines,(b)bulldingto center line of road,(c)building .4 1 <br /> measurement to the ordinary high water mark of lake,stream,or river. <br /> 4. If separate plans are submitted by an architect,engineer,builder,contractor,etc.,the plans must be signed and - <br /> dated by the owner. C ° <br /> ISSUED. <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED FOR ONSITE VERIFICATION BEFORE A PERMIT CAN BE 7I a m <br /> 71 z o <br /> PLOT PLAN o , a <br /> N <br /> O <br /> C i ' <br /> m � - <br /> cl <br /> I <br /> c <br /> i; <br /> i <br /> SEE ATTACHED ° <br /> N <br /> O I�} <br /> b <br /> v � <br /> � z <br /> s <br /> CONDITIONS OF PERMIT: c F j: �,z <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT ISSUANCE. —N: <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. y^, <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. o O C <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best I my knowl- <br /> edge and belief it is true,correct and complete.1 acknowledge that I am responsible for the detail and accuracy of all informa- " o : n <br /> tion contained in this application(including any accompanying schedule)and I further declare that I recognize that this infor- C <br /> mation I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to issue a permit. 1 o� o <br /> further accept all liability which may be a result of the County of Burnett relying on this information 1 am providing in this ap- <br /> plication.I agree to permit county officials charged with administering county ordinances or other authorized person to have n o <br /> access to the above described premises at any reasonable time for the purpose of inspection. T 3 o N <br /> e A : <br /> 4/4/93 ' ' <br /> SIGN HERE Wade Ruzhotrl «: <br /> (signature of owner or buil019g )ntr for) at o x E <br /> ZONING ADMINISTRATOR (` <br /> «N W H N«V r <br /> TOWNSHIP PIERMITS MAY BE REQUIRED 0 . <br /> 0 0 0 0 1 <br />