Polk County Land Use Permit Application Page 2
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1
2LOT LAYOUT
NORMAL HIGH WATER LINE
Show location of ALL EXISTING
STRUCTURES in SOLID LINES
______ Feet
Show dimensions, location and
(from eave)
setbacks of PROPOSED
STRUCTURE in DOTTED LINES
Indicate: “D” dwelling, “A” accessory
building, “ST” septic tank, “DF”
drainfield
You will need to print
A
100’
application, then
complete drawing on this
______ Feet
______ Feet
24’
page or use 8 1/2 x 11
(from eave)
(from eave)
Deck
12’
sheet of paper to submit
60’
with application.
15’
40’
25’
D
35’
25’
25’
ST
DF
70’
Road Name
______ Feet
Center line of road or front property line
(from eave)
Back to page 1
Centerline of road or front property line
SHORELAND AREAS
H-1, R-1
A-1, A-2
(Land within 1,000’ of lakes, ponds & flowages or within 300’ of rivers or streams)
Incomplete applications
or RA-5
or A-3
may be returned.
STRUCTURES – Minimum setback
Class 1 &
Rivers/
from eaves
non-
Class 2
Class 3
Streams
Allow us 2 weeks to
Waterfront
process your application.
Dwelling
Ordinary High Water Mark
75 ft
75 ft
75 ft
75 ft
PLEASE check with your
Side lot line
10 ft
15 ft
25 ft
15 ft
10 ft
25 ft
Town building inspector to
Rear lot line
25 ft
25 ft
25 ft
25 ft
25 ft
25 ft
see if a building permit is
required for your project.
Accessory
Ordinary High Water Mark
75 ft
75 ft
75 ft
75 ft
Building
Side lot line
5 ft
10 ft
25 ft
10 ft
5 ft
25 ft
Permit information is public
Rear lot line
10 ft
10 ft
10 ft
10 ft
5 ft
25 ft
record and is available on
Polk County’s GIS
Boathouse
Ordinary High Water Mark
10 ft
10 ft
10 ft
10 ft
Website.
Private
Town
County
State or US Hwy
ROAD
Minimum setback
Road
Road
Road
Wetlands Notice: (WI Statute 59.691)
You are responsible for complying with state and
From center line
35 ft
63 ft
75 ft
110 ft
federal laws concerning the construction near or on
From right-of-way
--
30 ft
42 ft
50 ft
wetlands, lakes, and streams. Wetlands that are
SEWER
not associated with open water can be difficult to
Minimum setback
Dwelling /Accessory Building
Ordinary High Water Mark
identify. Failure to comply may result in removal or
Drainfield
10 ft
50 ft
modification of construction that violates the law or
other penalties or costs. For more information, visit
Septic Tank
5 ft
10 ft
the Department of Natural Resources wetlands
Dwelling
Accessory Building
Boathouse
HEIGHT LIMITS
identification web page or contact a Department of
Measured to the Peak
Natural Resources service center
35’
25’
14’ side wall
.
(lakeside)
http//dnr.wi.gov/topic/wetlands
Farm Buildings Exempt from Height Limit
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