Laserfiche WebLink
Burnett County 7410 Co.Rd. K,No.102,Siren,W154872 Office of Zoning Administrator m o° o <br /> APPLICATION FOR LAND USE PERMITS �• <br /> Lowell 4 kc4+hl e� LirJAO <br /> n ;� m —P <br /> OWNER S{ P ) �P-1e-s I� 4 Pebr ,Gf TELEPHONE —as � '�Oy Z o <br /> MAILING ADDRESS 10 0 0 Ftp Y- e^J Qfz 1(A <br /> GS11 GSom ) OMI0ji JM _ <br /> PROPERTY ADDRESS 4 t TS LI 4 5 J' V7 It, I a T W/ l ewo dk Mee.frf d,.1 V') <br /> RAac01wo a,-01$, 2-39-1l -0"1-C - 01400 Apjh I. s � <br /> LEGAL DESCRIPTION(see tax receipt) par cal 1.1 o Ol -0196 a -3,1 -it,-07 '0 di Sc70 [b <br /> 10 <br /> ONFGLbW6dD4i1Lf�ICIG/® GARAGE/ACCESSORY STRUCTURE ❑ ADDITION 3 <br /> Cr <br /> TYPE OFPERMIT(S): t� <br /> FILLI/N'�G/G11RADING ❑ CAMPINGnUN'IT ❑ S(�U�B,D,I�VISIONl�❑ < ?- <br /> STRUCTURE/ADDITION USE:6&6iwl 'v eW pL^Oyh �`�' ���deJ ' CZ <br /> l (Home/Cabin;Commercial Business;Bed m; Deck;etc.) m a <br /> BUILDING CONTRACTOR: &+NeW k. MGhovicA <br /> CDC <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 81h X 11 SHEET OF PAPER. %Y INCOMPLETE DIP// -n f �, <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. A,V�C - �//�`C( �� � v` �S O <br /> p 9 N <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) L/Qd(� n a <br /> � � <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN m 70 <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m M 3 <br /> NORTH(N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO m <br /> CENTERLINE OF ROAD,(C)BUILDING(S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF (� z <br /> LAKE,STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. (v P <br /> 4, SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES TO `1(AD Q) <br /> BUILDINGS,ROADS, LAKE, LOT LINES. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. C' ry <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER,BUILDER,CONTRACTOR,ETC.,THE PLANS �. �, <br /> MUST BE SIGNED AND DATED BY THE OWNER. v Q( Q <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN = ° <br /> NEEDED. <br /> CJQ "J <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. c <br /> CONDITIONS OF PERMIT: }}} <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT <br /> ISSUANCE. Il GJ <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. <br /> 01 <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY ` <br /> PERMITTED. (YJ <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> S TBACK AREA. <br /> 3 = <br /> 6. OL7er 600 a2 % aS m co y O <br /> 7 <br /> Z o 0 q <br /> 7. P �� i i m <br /> BW: O <br /> I declare that this application(including any accompanying schedule) has been examined by me and to the best of my <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of CML a <br /> �i <br /> all information contained in this application(including any accompanying schedule)and I further declare that 1 recognize m m ; i m <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- ? Wil: <br /> sue a permit. I further accept all liability which may be a result of the County of Burnett relying on this Information I am <br /> providing in this application. I agree to permit county officials charged with administering county ordinances or other <br /> m i E <br /> authorized person ve access to the above described premises at any reasonable time fo T o <br /> ID m : <br /> ID <br /> yt w '• <br /> SIGN HERE (Sl re owns r building contractor) Al IC 0 <br /> (data) a <br /> ZONING ADMINIST TOR E i <br /> TOWNSHIP PERMITS MAY BE REQUIRED glRNETT COUNTY U <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUA94MING (1 V'( <br />