Laserfiche WebLink
, e . . nl l "I <br /> Burnett County 7410 Co. Rd. K, No. 102, Sinn, WI 54672 Office of Zoning Administrator W �+ c <br /> APPLICATION FOR — LAND USE — PERMITS <br /> m o <br /> TO THE ZONING ADMINISTRATOR:The undersigned hereby makes application for a Permit for the work desc bed and u c <br /> located as shown herein. The undersigned agrees that all work shall be done in accordance with the requireme s of the <br /> Burnett County Land Use Ordinance,Sanitation Code,and with all other applicable County Ordinances and the laws and �_ $ <br /> regulations of the State of Wisconsin. <br /> C m (((��� <br /> OWNER Peter Braun TELEPHONE (715)656-3264 f <br /> ADDRESS 5035 Burls Trail Danbury,WI 54830 <br /> EMERGENCY/FIRE NUMBER 5035 ROADNAME Burls Trail <br /> LEGAL DESCRIPTION (seetexreceipt) Lot 7, First Addition Acres, NE SE, Section 4, T41N, <br /> litt5W, Town of 9 <br /> CONTRACTOR <br /> TYPE OF PERMIT(S): DWELLING/BUILDING GARAGE/ACCESSORY STRUCTURE ADDITION 1 0 <br /> o <br /> SANITARY % PRIVY FILLING/GRADING CAMPING UNIT SUBDIVISION o � <br /> o — <br /> STRUCTURE/ADDITION USE: Sanitary Only o <br /> (Home/Cabin;Commercial Business; Bedroom;Deck;etc.) Z o <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (Aerial or top view) t� <br /> 1. Show the location and size of all existing buildings (EB) and all new buildings (NB) and Indicate North (N). <br /> 2. Show the location of the well (N),septic tank (ST),and drainfield (DF). <br /> 3. Show dimensions in feet of the following:(a)building to all lot lines,(b)building to center line of road,(c)building 11 <br /> measurement to the ordinary high water mark of lake,stream,or river. c <br /> 4. it separate plans are submitted by an architect,engineer,builder,contractor,etc.,the plans must be at gned and 9 <br /> dated by the owner. 0 <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED FOR ONSITE VERIFICATION BEFORE A PERMIT CAN BE ISSUED. 91 o m <br /> Z cv <br /> PLOT PLAN o n <br /> A 0j o <br /> III <br /> 1 i <br /> C V <br /> SEE ATTACHED J \ Yt <br /> �j <br /> N <br /> {I= <br /> a <br /> ^ I� <br /> 2 <br /> a <br /> So <br /> 1 _ <br /> f <br /> SRRppf" <br /> CONDITIONS OF PERMIT: Q C g,E 1C <br /> - 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT ISSUANCE. e <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. i <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. �' i C <br /> i <br /> I declare that this application(Including any accompanying schedule)has been examined by me and to the best of my knowl- - ,a <br /> edge and belief it is true,correct and complete.I acknowledge that I am responsible for the detail and accuracy of all informs- . r. �+ m <br /> tion contained in this application(including any accompanying schedule)and I further declare that I recognize that this infor• 0 E �' $ p <br /> motion I amgroviding will be relied upon by the County of Burnett Wisconsin in determining whether to issuf a permit. I $ $ <br /> further acc rpt all liability which may be a result of the County of Burnett relying on this information I am providing in this ap- ' <br /> lion.t agree to permit county officials charged with administering county ordinances or other authorized person to have - <br /> Is to the above described premises at any reasonable time for the purpose of inspection. <br /> i i O • <br /> f7ade Rufsholm 4/19/95 e. '• <br /> SIGN HERE_ ' . <br /> (signature of owns or IId ng it t (date) Np <br /> i <br /> ZONING ADMINISTRATOR ` $ : . <br /> TOWNSHIP PERMITS MAY BE REQUIRED 9h'5 5 8 m <br /> 8 $ 8$ $$ ai <br />