Laserfiche WebLink
Z <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator g = (rl <br /> APPLICATION FOR LAND USE PERMITS r w <br /> v <br /> OWNER TELEPHONE <br /> MAILING ADDRESS Fe@ C C( RCY OA,n h U S `CQ O i\ <br /> (G t0 T� <br /> PROPERTY ADDRESS <br /> 2 :7 P49 tJo PL L ks Rd We bs �e,, U) ' is <br /> LEGAL DESCRIPTION <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ❑ DDITION ❑ DECK ARAGE/ACCESSORY STRUCTURE <br /> BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ STAIRS ❑ FILLING/GRADING ❑ CAMPING UNIT❑ d <br /> a <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ <br /> 1 <br /> STRUCTURE/ADDITION USE: Per- ea-sip 3 <br /> V` 1 4, ✓,^, I c <br /> (Home/Cabin; Commercial usiness; Bedroom; Deck, t.)) <br /> BUILDING CONTRACTOR: 1 I00 WL r r S 0 <br /> T � <br /> O 3 <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 1/1 X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS C c <br /> WILL BE RETURNED. <br /> r; <br /> DIRECTIONS FOR PLOT PLAN DRAWING; (ARIAL OR TOP VIEW) r U\ o <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. c v <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) BUILDINGS)TO ALL LOT LINES, (B) BUILDING(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. <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK(ST)AND DRAIN FIELD(DF),AND ALL DISTANCES <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. <br /> S. 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 <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. 7t. >V <br /> I 4b <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 /> I. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. n Z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. n <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 H I` <br /> SETBACK AREA. U <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. , <br /> 6• 5'MW_r49l5 I$ AN AccaSZoky` &-qio tf'y , NST A G6101n9. <br /> 7. :0 X 0 0 o v c O :o <br /> � �i ri 3 3 3 R a n ts7 <br /> I declare that this application(including an accompanyingschedule has been examined b me and to the best of m Z ffi ' " ' '� = ' 7 <br /> PP ( 9 Y ) Y y 3 o ,Z R P a.�- r ::t <br /> knowledge and belief It Is true,correct and complete, I acknowledge that[am responsible for the detail and accuracy of all a y = = a <br /> Infonnatlon contained in this application(including any accompanying schedule)and I further declare that I recognize that this S. ^ > a ti ; <br /> Information I am providing will be relied upon by the County of Burnett Wisconsln In determining whether to Issue a permit. I > <br /> further accept all liability that may be a result of the County of Burnett relying on this Information I am providing In this G L, <br /> application. I agree to permit county officials charged with administratin county o nances or other authorized pe ;lo7 <br /> e J)R o g t^ <br /> access to the above-described premises at any reasonable time for the se pectlon. 6 m 8 H <br /> 3 A >�8gR 8 ,nal <br /> OWNER'S SIGNATURE / <br /> ate) <br /> ZONING ADMINISTRATOR ,S51 A <br /> $��T s/6� '` _ c <br /> TOIA ITS MAY BE REQUIRED REUISIOII�. t <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br /> gU . <br /> sr = SSo <br />