Laserfiche WebLink
Burnett County 7410 County Road K,No. 102, Siren,WI 54872 Office of Zoning Administrator - L. <br /> APPLICATION FOR LAND USE PERM(ITSp q <br /> OWNER ' III E 4t1 SO�GS1�, TELEPHONE// .JII USO <br /> ll0 11 <br /> MAILING ADDRESS (2JOX U� WGVflr1 11� �0(,11 -CiZI ¢ <br /> PROPERTY ADDRESS n <br /> 2CaCos ,, KnuII R-c� 1 urn ��. I S",LEGAL DESCRIPTION S1 AtJD Lot- l0 'Sul- tr- <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ADDITION ❑ DECK❑ GARAGE/ACCESSORY STRUCTURE 0 <br /> BUNKHOUSE 0 59.692(IV)GA2EBO 0 STAIRS 0 FILLING/GRADING 0 CAMPING UNIT 0 <br /> C - <br /> COMMERCIAL WILDING❑ COMMERCIAL ADDIITON 0 COMMERCIAL ACCESSORY STRUCTURE 11 <br /> H <br /> STRUCTURE/ADDTHON USE: oML In <br /> ome m;Lonamercial Ba9mew; Bedroom;DCCk;etc.; <br /> �1 1 <br /> BUILDING CONTRACTOR: �e'CY� �pr�')4'ry r�'t"TOh IhL, UJ e <br /> z '<(7 V <br /> AP LOT PIAN MUST BE PROVIDED ON AN 8'h X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS 1� n <br /> WILL BE RETURNED. - T <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) c <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. na <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW p C} <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, 1 4J <br /> AND INDICATE NORTH HN). ZW <br /> 3. SHOW DIMENSIONS M FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S) <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATERMARK <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS. _ C> <br /> 9. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAIN FIELD(DF),AND ALL DISTANCES i <br /> TO BUILDINGS,ROADS, FAKE,LOT LINES. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. r"CII <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER, BUILDER,CONTRACTOR,ETC.,THE <br /> PUNS MUST BE SIGNED AND DATED BY THE OWNER. I r <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED 50 AN ONSITE VERIFICATION MY BE DONE WHEN y <br /> NEEDED. p lSl <br /> THIS PERMIT IS SUBIECTTO ALL CONDITIONS LISTED BELOW: <br /> l�J L[ UU ll55 <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERM 1 <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION O RESTRICTED ALONG SHORELE z d <br /> 3. NO GRADING ES SHOREUNG ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PER TER 2 3 2p14 lli"IT�� 0i <br /> 9. NO BACK ARE ES,INCLUDING RETAINING WALLS,ETC,ALLOWED WITHIN THE REQUI TER O <br /> SCCESSOAREA. ,..,.�a,t��7 <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/SCSGFn�ar"'' QOUN <br /> NOT TO BE USED FOR HUMAN HABITATION. ZONING S <br /> 6. ,,4A,, _r PBkN1 _TN6E0S 70 BE oBT�FSN6 I°RroR <br /> T� coAVSTkuGT�N 57-hA7--r/U5r. <br /> 7. <br /> 3 3 <br /> Ideclare that this application(including any accompanying schedule)has been ezamined by me and to the been,of my <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of allC_ - <br /> information contained in this application(including any accompanying schadule)and I further declare that l recognize Oat this > x_ v " <br /> information l am providing will be relied upon by the County of Burnett Wisconsin in determining whether to issue a permit i <br /> further accept all liability that may he a result of the County of Burnett relying on this Information I am providing in this - - - <br /> application. IagreeW permit county officials charged with administrating county ordinances or other authorized person to - F <br /> have access to the above-dTed/premises at Y reasonable time for the purpose ad inspection. = v >' �Hv� C7 <br /> OWNER'S SIGNATURE � <br /> ZONING ADMINISTRATOR9 Zfp z <br /> w = <br /> m <br /> TOWNSHIP PERMITS MAY BE REQUIRED I - <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE g <br /> . 88 <br />