Laserfiche WebLink
Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator a <br /> 0 <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNER JQlYJtS t� U S/b,v tlrl Ll� TELE -7&�-- 22Ld E d Y <br /> MAILING ADDRESS / ' v <br /> �I � S®I'Y) Y,l�f' <br /> PROPERTY ADDRESS //ThOw-b O/l /,�L��". an y m <br /> G „ <br /> LEGAL DESCRIPTION Z., t/, !'� //C, &(J f <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ❑ ADDITIONA DECK ❑ GARAGE/ACCESSORY STRUCTURE ❑ (A <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ STAIRS ❑ FILLING/GRADING ❑ CAMPING UNIT❑ <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION 0 COMMERCIAL ACCESSORY STRUCTURE ❑ s' <br /> 2 <br /> STRUCTURE/ADDITION USE: Uli&Av 'fv CirFiiN ` C(/Y-F/�d 6n yvrl y {�jj, <br /> (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) ° Z <br /> BUILDING CONTRACTOR: �`/�/u it /y,,•.$fyttC��dl-� � _ <br /> O � <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 th X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS o <br /> WILL BE RETURNED. °_ H <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) � <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. C <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB) AND ALL NEW 3 <br /> BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, .o <br /> AND INDICATE NORTH (N). 9 <br /> N <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S) TO ALL LOT LINES, (B) BUILDINGS) —C P <br /> TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK w IJ <br /> (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS, AND (D) LOT DIMENSIONS. C1v <br /> 4. SHOW THE LOCATION OF THE WELL (W), SEPTIC TANK (ST) AND DRAINFIELD (DF),AND ALL DISTANCES S. G <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. <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 o <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. <br /> _ c <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN C� <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: O T <br /> N <br /> Ut <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. n 43 C3 <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. H ` <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. N <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER Q <br /> SETBACK AREA. o <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. N <br /> NOT TO BE USED FOR HUMAN HABITATION. a <br /> 6. y9� <br /> 7. T � r9i o00 IY <br /> r 3 <br /> I declare that this application (Including any accompanying schedule)has been examined by me and to the best of m 2 ' <br /> y g 0 <br /> knowledge and belief it Is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all g, m d E g; a <br /> Information contained In this application(Including any accompanying schedule)and I further declare that I recognize that this `° S. D D W e <br /> Information I am providing will be relied upon by the County of Burn Wisconsin in determining whether to Issue a permit. I c <br /> further accept all liability that may a result of the Cou ty of Bur relying on this informatlon I am providing In this a a i» <br /> application. I agree to ,� v g ^' <br /> g permit coun officials charged wltadmltnrang county ordinances or other authorized person to have ,� g c S <br /> access[o the above-described pre s at any reasonablpurpose of Inspection. <br /> Sky Qggo 'i <br /> OWNER'S SIGNA '' rtn GO) c a <br /> I r. tb lv' <br /> ZONING ADMINISTRATOR H a <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANINETT t,, UNN I �, <br /> Z'JNINu � �sooao <br />