Laserfiche WebLink
Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNER (�iG/'1�arxJn d GU.�S'H .lacJf{IS TELEPHONE I= _ <br /> o� <br /> MAILING ADDRESS P.O. 000 Zi r 5poon4w, W1 54801 <br /> L''" � 1 <br /> PROPERTYADDRESS $(OQ$ 5. '51riom Wire , �4 J J wl 5goo <br /> L< <br /> N6 VitW 6 t/4 5 2 3 T Ll 00 '1 YJ 0) <br /> LEGAL DESCRIPTION LOT A '3 SLl cA;v;1 4M P.W55 Lull %V,65 r <br /> TYPE OF PERMIT($): SINGLE-FA M I LY DW ELLI N G ADDITION F, DECKX GARAGE/ACC ESSO RY STRUCTU REO <br /> BUNKHOUSE 0 59.692(1V)GAZEBO 0 STAIRS 0 FILLING/GRADING 0 CAMPING UNIT 17 5 <br /> COMMERCIAL BUILDING 0 COMMERCIAL <br /> /ADDITION 0 COMMERCIAL ACCESSORY <br /> STRUCTURE 0 � .1 <br /> STRUCTURE/ADDITION USE: LKF�tI'I GAiIA-ems �IL(�YeiY� p'Jlli'� Y-'J _ V,I o <br /> (Home/Cabin; Comme <br /> rcial Business; eetd room; Deck; etc) IV" <br /> BUILDING CONTRACTOR: �!J ZX_ Ivy ICA/t�la rV-� <br /> O <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 'h%11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS <br /> WILL BE RETURNED. P �IU\, <br /> DIRECTIONS FOR PLOT PLAN tDRRAA/WING/:T(`ABIAALLr-O+RPTOP VIEW) 4C \ T - <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 <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH (N). '- <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S) TO ALL LOT LINES, (B) BUILDING(S) S <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS, AND (D) LOT DIMENSIONS. p <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK (ST)AND DRAINFIELD (DF), AND ALL DISTANCES e <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. ti <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. Hyl_ h <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC.,THE V�/IIWWW�I <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. s <br /> iu <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. Dc rr <br /> z <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. $ <br /> 6. <br /> 7. <br /> 7, p > n <br /> I declare that MIs application(including any accompanying arheaule)has been examined b t 2 3 3 <br /> y me and to l a best or my a s <br /> knowledge and belle)It Is true,correct and complete. i acknowledge that I ul responsible for Me detail and accuracy of all - a, - c <br /> Information contained in this application celled(Including any auntyaccompanying schedule)and 1 further declare that I recognize that this <br /> further accept <br /> I am providing will a relied esult by the County f Burnett <br /> Wisconsin in determining whether to issue a permit 1 <br /> Portlier accept all liability mi may county <br /> a resort h the County of Burnett relying county <br /> this information 1 r a providing in this <br /> application, 1 agreed permit countyes at <br /> n the ad iM adminis[aUng county ordinances or other authorized person to have <br /> access to Me above-described premises at any rea le ti a for the purpose of nspea n. j <br /> Z <br /> OWNER'S SIGNATURE �j,(, pG� ` L I _ - - a o S <br /> (date) r1 v c <br /> ZONING ADMINISTRATOR <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE — <br />