2006/09/01 - LAND USE - LUP - Other (3)

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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator n Z APPLICATION FOR LAND USE PERMITSg 9. -s. �,s=�s'1 joyl til GnB� a OWNER,..ri/� Jr- /Aft TELEPHONE Plane 7-65143' 19 i V i n MAILING ADDRESS IIIA7 10,� ° 140 13iy L..raKc MN S'sfo9 0 i PROPERTY ADDRESS 3ns' RIRo.4el Wetfe Wr _ s LEGAL DESCRIPTION &0"'r 1-0 11 5e.-r,4. I J To wwfiIIo y o N0RT/1'I`..)?,4*'f QST 0) TotyA! 0L' ,TrloKtn,., &AA14rrc W f tfbRi'G 012-'s213-04-y 5 DWELLING/BUILDING CR GARAGE/ACCESSORY STRUCTURE ❑ AD ON ❑ STAIRS ❑ I" r TYPE OF PERMIT(S): NT\ •a FILLING/GRADING ❑ CAMPING UNIT❑ BUNKHOUSE O 59.692(1V /)GAZEBO 0 DECK ❑/ y "� STRUCTURE/ADDITION USE: Would L1 Kc A Pvr A L?,,k ��T uWI,,t45L /+•`� (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) o BUILDING CONTRACTOR: e bo� /S ^ T 1r n • A PLOT PLAN MUST BE PROVIDED ON AN 8 rh X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS m I G) WILL BE RETURNED. O)')SI k� CC a J DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL.OR TOP VIEW) K' A 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. p ' 5 1 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB) AND ALL NEW G ; BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, AND INDICATE NORTH (N). 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDINGS) I c TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK I e (OHWM) OF LAKE, STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. \ c 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK(ST)AND DRAINFIELD (DF),AND ALL DISTANCES r TO BUILDINGS, ROADS, LAKE, LOT LINES. 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. n o O 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC.,THE H PLANS MUST BE SIGNED AND DATED BY THE OWNER. NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN R. Fel 4- NEEDED. 5Q� c THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: m W I 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WCiHIN 60 DAYS OF PERMIT. 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. 3 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER SETBACK AREA. S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. NOT TO BE USED FOR HUMAN HABITATION. 6. m 6eecns+r"l-e-4 W,4-h app�,a/e eras'an af dlrol merxsuru,�o quad�g on IQkC-S� bf S+rraClu'ZS.A)O rL�Q ,ni^�i +n7ttli Wi}hin 76'of- 64win, 7• Exi_4inn hab,+able- fIvi spa"_& er Dar (- regµirGs buna�ouseperm f :. I =. I declare that this a Ilratlon(including an accompanyingschedule has been examined b me and to the best of my knowledge PP ( q Y ) Y 9 and belief It Is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all Information contained In this a Ilcation(including an accompanyingschedule and I further declare that I recognize that this information I Y PD ( q Y ) oq am providing will be relied upon by the County of Burnett Wisconsin In determining whether to Issue a permit. I further accept all c liability that may be a result of the County of Burnett relying on this Information i am providing In this application. I agree to n Op N g `^ `^ 8 t' permit county officials charged with administrating county ordinances or other authorized P ty ry 9 ty person to have access to the above- o described premises at any reasonable time for the purpose of Inspection. E n 9 e Z n SIGN HERE ""�� T-71 ol wv c ksTgnatu owner or building contractor) / ZONING ADMINISTRATOR m C n 0 ` F t"I AUG 1 6 2006 ` ? , TOWNSHIP PERMITS MAY BE REQUI H THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE 96I WRCOUNTY 8 U o �e(mll lel �rG�Qd ur h77inp�hy moi✓ ZONING