Laserfiche WebLink
'7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator _ <br /> APPLICATION FOR LAND USE PERMITS <br /> G <br /> -C�iL�I'!rn �inl�L mavrt�,. TELEP7.q/S-Gd(,- .,33 _ <br /> MAILING ADDRESS �O•�OX 3aa- <br /> J. <br /> PROPERTY ADDRESS 4 <br /> a85�y &. ;k//ow �w� IAF• < �f�– <br /> LEGAL DESCRIIi ON pp oo T – <br /> rl,w.S�n7 7yA+nefy� yD N•rrF �'4-'. <br /> TYPE OF PERMTr(S): SINGLE- MILY DWELLING ❑ ADDIITON El DECK E) GARAGE/ACCESSORY STRUCTUREIQ 14 IJP <br /> BUNKHOUSE O 59.692(IV)GAZEBO❑ STAIRS ❑ FILLING/GRADING O CAMPING UNIT C <br /> COMMERCIAL BUILDING❑ COMMERCIAL ADDITION ❑/COMMERICIAL ACCESSORY STRUCTURE L – <br /> STRUCTURE/ADDITION USE: l�Yl l�Up i /X / is f <br /> BUILDING CONTRACTOR: <br /> (Home/Cabin; Commercial Business; Bedroom; Deck;etc.) <br /> —Q •1J\•r� _ <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8'/z%11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS <br /> r <br /> WILL BE RETURNED. – – <br /> DIRECTIONS FOR PLOT PIAN DRAWING: (ARIAL OR TOP VIEW) <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW 9 r <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, r <br /> AND INDICATE NORTH (N). – l <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDINGS)TO ALL LOT LINES,(B)BUILDING(S) <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(5)TO THE ORDINARY HIGH WATER MARK <br /> --.. - (OHWM)OF IAK.E, STREAM OR RIVER AND WETLAND AREAS,AND(D) LOT-DIMENSIONS. _ 0 <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES _v <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. 5. <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 <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. lig( <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED 50 AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. W <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: – <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. F ,z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. _ z <br /> 3. NO GRADING OR SHOREIAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED, <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 /> Z. _ A > nnn^ � R <br /> R rt737 _d ` � <br /> I declare that this application(including anyaccompanying schedule)has leenezamined by meandtothe bestofiry <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all <br /> information contained in this application(including any accompanying schedule)and I further declare that I recognize that this _ <br /> information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to issue a Permit. I _ — — S <br /> further accept all liability that may be a result of the County of Burned relying on this information I am providing in this _ r — <br /> application. Iagree to permit county officials charged with administrating county ordinances or other authorized Person to <br /> have access to the Above-described premis a[an nable ' le far the purpose of inzpMio > _ h (• <br /> OWNER 11 Gr.�� <br /> B <br /> (dot y C <br /> ZONING ADMINISTRATOR A JUN 9 20I4 D ll�lI�y _ s <br /> OWNSHIP PERMITS <br /> IS PER�ITSMAY BE REQUIRED gURNETT COUNTY C7 - <br /> THIS PER IT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCgONING - <br />