Laserfiche WebLink
b z <br /> G � O <br /> 0• <br /> Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS <br /> R�(� I DD <br /> OWNS//Ic. A it / <br /> TELEPHO�CS�S�- <br /> MAILING QTr� Ll'(.0 �/ La ote <br /> PROPERTY ADL]RESS,� h(� // ` LG i(11. o <br /> R �a(iX. l sE 3^E a <br /> LEGAL DESCRIPTION <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ❑ ADDITION ❑ DECKX GARAGE/ACCESSORY STRUCTURE❑ <br /> m <br /> BUNKHOUSE❑ 59.692(1V)GAZEBO ❑ STAIRS ❑ FILLING/GRADING ❑ CAMPING UNIT❑ b <br /> COMMERCIAL BUILDING❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE 11V <br /> STRUCTURE/ADDITION USE: Ad d r ri d 1) de C k g "X �d / P V <br /> J� (Home/Cabin;Commercial Business; Bedroom; Deck;etc.) , 1 <br /> BUILDING CONTRACTOR: DO/7 L/a n Ole ✓Bee <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8'/z X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS <br /> c <br /> WILL BE RETURNED. n � <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) c <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 G o <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, V I AND INDICATE NORTH(N). Z <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 So <br /> J <br /> (OHWM)OF LAKE, STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS. ` w <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES Y 'S. <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. lh <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. c 11J <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER,BUILDER,CONTRACTOR, ETC.,THE 70 <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. I <br /> Ct <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN UT <br /> NEEDED. rte^ RJ <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: F <br /> v' d <br /> 1. 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. <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. V <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. E <br /> 6. <br /> 7. > 0 r 0 � at7 b <br /> yz 3 3 36 m n rn a 0 a <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my 3 O ,2 = = ? 3 <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all �, m w eL ! .j <br /> information contained in this application(including any accompanying schedule)and I further declare that I recognize that this D <br /> information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to issue a permit. I v a $ v 7 <br /> further accept all liability that may be a result of the County of Burnett relying on this information I am providing in this = <br /> application. I agree to permit coty officials charged with administrating county ordinances or other authorized person to m d : o o o r <br /> have access to the above-descri premises at a e ble ' e for a purpose of inspection. Wo w wN„�, A <br /> OWNER'S SIGNATURE 9- n o 0o g o 0 o y <br /> (date U <br /> ZONING ADMINISTRATOR qPP <br /> WNSHIP PERM MAY BE REQUIRED COUNTY51 <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSBm g <br /> ZONING <br /> J-.. NfgN fA� <br /> n H O O O O O <br />