Laserfiche WebLink
Burnett County 7410 County Road Kr No. 102, Siren,WI 54872 Office of Zoning Administrator g I c <br /> APPLICATION FOR LAND USE PERMITS 3 <br /> VI y <br /> ° <br /> N <br /> OWNER M , 1 1_ I TELEPHONE <br /> ° <br /> MAILING ADDRESS 72�1 <br /> PROPERTY ADDRESSg <br /> LEGAL DESCRIPTION <br /> DWELLING/BUILDING❑ GARAGEIACCESSORY STRUCTURE EIADDITION L7 STAIRS❑ E j=am <br /> TYPE OF PERMIT(S): <br /> FILLING/GRADING❑VV CAMPING UNIT❑ BUNKHOUSE 11 59.692(1V)GAZEBO Cl DECK n <br /> STRUCTURE/ADDITIONUSE: dl-'r-y— c <br /> ( <br /> H <br /> o <br /> m <br /> e/Cabin;Commercial Business; Bedroom; Dec ;etc.) o <br /> BUILDING CONTRACTOR: nI��"1- �` S �NL <br /> s <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8'h X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS <br /> WILL BE RETURNED. � <br /> O N <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) °0. a. & <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. <br /> 2. SHOW THE LOCATION AND SIZE OF ALL E)QSTING 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) h c <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK ,a <br /> (OHWM)OF LAKE,STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES '7y <br /> TO BUILDINGS,ROADS,LAKE,LOT LINES. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. n Q <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER,BUILDER,CONTRACTOR,ETC.,THE E <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. y <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. <br /> QQ � <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: 9 <br /> Sa' a <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. <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 /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. <br /> roa�mga � <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my Imoudedge <br /> and belief It is true,correct and complete. I admoarledge that I am responsible for the detail and accuracy of all Information <br /> contained in this application(including any a000mpanying schedule)and I further declare that I recognize that this informatioa I <br /> am providing will be relied upon by the County of Bin. Wisconsin in determining whether to Issue a permit I further accept all N g U oo -0 <br /> liability that may be a result of the County of Burnett relying on this information I am providing in this application. I agree to permit o O <br /> county officials charged with administrating county ordinances or other authortu d person to have access to the above-described s n <br /> premises at any reasonable time for the purpose of inspection. m o o K 21 O <br /> SIGN HERE R Q'A LYE <br /> (signat'\t)n i of owner of building contractor) (date) {y ; S oa,5 Ky <br /> ZONING ADMINISTRATOR <br /> V ( -111N 9 N 6 <br /> I <br /> TOWNSHIP PERMITS MAY BE REQUIRED BURNETT COUNTY <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANC w w N <br /> �ONING <br />