Laserfiche WebLink
VD? / / <br /> mett County 7410 Co. Rd. K, No. 102, Sinn, WI 54872 Office of Zoning Administrator o E o <br /> APPLICATION FOR — LAND USE — PERMITS <br /> f0 THE ZONING ADMINISTRATOR:The u Q o <br /> 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 a o $ <br /> Burnett County Land Use Ordinance,Sanilffikxl Code,and with all other applicable County Ordinances and the laws and <br /> regulations of the State of Wisconsin. v m <br /> c m <br /> OWNER TELEPHONE $ (\E <br /> LAWACNc.� tFAv4/A ��"TTy list - /oz� me <br /> ADDRESS 22{40 — P 1cpaAl ICD -An/J?j4Zr ul"- p � <br /> 9 <br /> EMERGENCY/FIREp'NUMBER ROAD NAME •V" ^ <br /> LEGAL DESCRIPTION (see tau receipt) S G � ,+ <br /> 00-Y"-kUl PAT Of AlMICS:abr /,QOMES <br /> ca <br /> CONTRACTOR v ,/ / <br /> ffRS <br /> TYPE OF PERMIT(S): DWELLING/BUILDING GARAGE/ACCESSORY STRUCTURE ADDITION p <br /> � L7 <br /> SANITARY PRIVY F LING/GRADING CAMPING UNIT SUBDIVISIONo ° <br /> < <br /> STRUCTURE/ADDITION USE: �F-TI�tlO[= (�N �O � <br /> (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) Z v <br /> o ° <br /> v <br /> a <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). <br /> 2. Show the location of the well (W),septic tank(ST),and drainfield (DF). <br /> 3. Show dimensions In feet of thefollowing:(a)building to all lot lines,(b)building to center line of road,(c)building <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. O <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED FOR ONSITE VERIFICATION BEFORE A PERMIT CAN BE ISSUED. 1A 3 y <br /> PLOT PLAN Zc <br /> o n <br /> �E1-�0W- <br /> uiATB214A Xr : <br /> I i <br /> POKE-y <br /> ° J <br /> (--314' IN g £ olJ <br /> R. <br /> OA <br /> aF T <br /> � �, <br /> r � [rlo <br /> Z <br /> rn <br /> r <br /> W � <br /> CONDITIONS OF PERMIT: 'B g ; <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT ISSUANCE. p 24 <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. rs gy i <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. �' O IS ? m <br /> Er <br /> I declare that this application(Including any accompanying schedule)has been examined by me and to the best of my knowl- <br /> edge and belief it Is true,correct and complete.I acknowledge that I am responsible for the detail and accuracy of all Informs- « "; R1 <br /> tion contained in this application(Including any accompanying schedule)and I further declare that I recognize that this infor. E <br /> matron I am providing will be rolled upon by the County of Burnett Wisconsin in determining whether to issue a permit. 1 8 <br /> further accept all liability which may be a result of the County of Burnett relying on this information I am providing In this ap- ; <br /> plication. I agree to permit county officials charged with administering county ordinances or other authorized person to have <br /> access to the above described premises at any reasonable time for the purpose of Inspection. <br /> n i <br /> M <br /> SIGN HERE Kn9988 <br /> g arum ofow bulldl contractor) ( ate)ZONING ADMINISTRATORWNSNIP P MITS MAY BE REQUIRED B �5 m <br /> ,818 ai <br />