Laserfiche WebLink
Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITSs S <br /> Hp <br /> OWNER ( I \ C• I- <br /> //7 ILC / '/ i/�F1.t///6JS /1 UPN SIAO TELEPHON /S/ ��67�Z1 <br /> MAILING ADDRESS y / // / COW 4I"'9t90 - 3096 <br /> 29//G �BNJUN �d <br /> n4 , VL <br /> ; <br /> PROPERTY ADDRESS / / Q <br /> LEGAL DESCRIPTION n /v(�S,�Q / - 1 �jr <br /> TYPE OF PERMITS): SINGLE-FAMILY DWELLING 11 ADDITION 0 DECK 0 GARAGE/ACCESSORYSSORY STRUCTURE / 3 <br /> BUNKHOUSE 0 S9.692(IV)GAZEB0 0 STAIRS 0 FILLING/GRADING Cl CAMPING UNIT 0 <br /> COMMERCIAL BUILDING❑ COMMERCIAL ADDRION❑ COMMERCIAL ACCESSORY STRUCTURE 13 �_ <br /> I - — <br /> 6 z <br /> STRUCRIRE/ADDITION USE: `yQ.�R�r �C�•:f Y• r -,.7 �;i1 1hip <br /> (tome/Cabin; Cuww• rcia8osiness, Bedroom; Deck; etc.) <br /> BUILDING CONTRACTOR: <br /> AP LOT PIAN MUST BE PROVIDED ON AN 8 V.XII SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS = ,r, <br /> WILL BE RETURNED. - - <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) <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, V B <br /> AND INDICATE NORTH(N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDINGS) E ry <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 DRAINFIELD(DF),AND ALL DISTANCES -_ Le' <br /> TO BUILDINGS,ROADS, LAKE,LOT LINES, <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. I <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER,BUILDER,CONTRACTOR,ETC.,THE F` <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN 1^ <br /> NEEDED. <br /> THIS PERMETIS SUBJECT TO ALL CONDITIONS LISTED BELOW: r <br /> L DRIVEWAY R CU MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 68 DAYS OF PERMIT. _ <br /> 2. REMOVAL OR CUTTING OF TREES AND IONS ARE <br /> AL O RED UNLESS ALONG SHORELINE (D" <br /> 4., NO GRADING ES SNCLUDING ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. (J. <br /> 4:. NO STRUCTURES,INCLUDING RETAINING WALLS,EEC.,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 /> Z. a >nnr` _ > U <br /> I <br /> declarenward that <br /> ndb this it is tre,correct anng d complete. <br /> ackowlede)M1at I am examined sibe me and for <br /> thedtaMed Aof accuracy <br /> knowledge co belief i i islrue,correttanE wading a. Iacny compa yang schedule) <br /> ale)and I furefor eclareailantl accuracy of all _ <br /> informationIamprovntained in thisapplicationupon(including Counts of Buriott Wisconsin <br /> in <br /> whether t. wgnize Mat this '_ = <br /> information Iam providing t willbe the aupon by the Counts of Burnett Wixunsinin Determining wM1eMertoissueapermit. I - _- 7 S <br /> further <br /> ion. I gll lia liability that county <br /> troa vialsesult of charged <br /> unty witha ministttingcgon nty ordinances information providing in this =_ T GG <br /> haveappliaccost the abopedescriedpourris officialszt aryetl wifeale administrating p countyordinancesinspection. erauMorizetl personto - v8 � 7 <br /> have access to the above described premis ata . ram ble time for Me purpo heat inspection. > : _ ' ,.k <br /> OWNER'S SIGNANR �'�('/vq�Y�� , 5f og=' 8 " � <br /> ZONING ADMINISTRATOR _ f. _ > 3 a ti r <br /> TOWNSHIP PERMITS MAY BE REQUIRED AUG 2 9.2013 _ yir <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUBETT COUNTY <br /> _ \ <br /> ZONING <br />