2014/10/21 - LAND USE - LUP - Other

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rd Burnett County 7410 County Road N,No. 102, Siren,WI 54872 Office of Zoning Administrator 3 C APPLICATION FOR LAND USE PERMITS OWNER //// TELEPHONE PROPERTY ADDRESS / 1 28/3 j �2 �f.� �oq .fir on /tui✓`„! IE LEGAL DESCRIPTION CJI,AV/� L� /'t—.t) J MAILING ADDRESS ,C/E74� Ulf ?/ TYPE OF PERMIT(S): t ❑ Single Family Dwelling U Garage/Accessory Structure ❑ Stairs ❑ Commercial Building O Addition ❑ Bunkhouse ❑ Filling/Grading ❑ Commercial Addition z Cl Deck ❑ 59.692(Sv)Gazebo ////❑ C/aimping Unit ❑ Commercial Am Structure STRUCTURE/ADDITION USE: P� l,< .7 �`j �/ U' d/` q E- z (Home/Cabin/ nmertlal Buvnes5/�etlroom; Deck;etc.) BUILDING CONTRACTOR: ✓ ; (/ q �A e ,4 S O✓/ n^ T � r PLOT PLAN ---INCOMPLETE OR ILLEGIBLE PLOT PLANS WILL BE RETURNED. 4: z ***REOUIRED PLOT PLAN INFORMATION*** ❑ 81h"X 11"SHEET OF PAPER DISTANCE(IN FEET)TO' ❑ DRAWN TO SCALE OR DISTANCES LABELED ❑ WELL ❑ PROPOSED BUILDING/STRUCTURE LOCATION ❑ SEPTIC TANK&DRAINFIELD I Dimensions&Heights ❑ ROAD RIGHT-0F-WAY IF SURVEYED ❑ EXISTING BUILDINGS/STRUCTURES(Includes deck, porch, etc.) -)CENTERLINE IF NOT SURVEYED '- -)Dimensions&Heights ❑ ALL PROPERTY LINES ❑ NORTH ARROW ❑ ORDINARY HIGH WATER MARK ❑ ALL WETLAND AREAS NOTE: Building/sVucture location must be staked for onvte verification when needed. I,/I��/-r MM W i Qj THIS PERMIT IS SUBIECT TO ALL CONDITIONS LISTED BELOW: D ECEI " E • Removal or cutting of trees and vegetation is restricted along shoreline D • No structures(including retaining walls,etc.)are allowed unless spedfically permi OCT 6 2014 • No filling,grading,or shore land alterations are allowed unless specifically permin • Ddveway must meet width requirements within 60 days of permit • Accessory structure/garage permits allow for pnvam residential storage only BURNM COUNTY "Not to be used for human habitation or rental storage'" ZONING ' 0 I declare that this appliratu m(including any acmmpanylog schedule)has been examined by me and to Ne best of my knowledge and belief it is but,correct and complete. I acknowledge that I am responsible for the detail and aocoreq of all Information conbined in Nis supination(including any.men winging schedule)and I hrMer declare that I recognize that this inbrmatlon Provided!O will be relied upon by the County of Burnet[Wisconsin in determining whether tor issue a permit I further aaep[all liability Na[may be a result of the County of Burnett relying on this information I am pmvlding In this appliation. I agree to permit county officials charged with administrating county ordinances or other authorized Persons to have access N the above-dewibetl premises at any reasonable U.for the purpose of inspection. � m > nnn cnc� /��fx1LTSt4T/2SAULG lhRZ�MBV 8?�/S�Ys,f}TI`NTY6Sk EG� 9� s; t n_ f 3ADDITIONAL CONDITIONS-- r? rt ' — e _ 66 _ AE9869 7,9 BERETu/Z EII iv R66TO 40 4EMoU6A � . WOW RE�IouR ` SILTFE�cE a -s R,vD ca✓6RE0 E B WEEN THE w�/LS r1 vD 7}/E G/1KE x - N6ED5 TO BE R ✓/}L AND LEFT ZnJ 104/XE UNTzL z n a W W ti 3 B�{�AE VF� eI�TSoNYSuAOJ=NL . g ^ = = o = g = a� OWNER'S SIGNATURE - n a, cncN _. r att ZONING OFFICIAL /� 9 20 ( are) _ bpi Fa --TOWN/UDC RMITS MAYBE REQUIRED THUS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE You are responsible for complying with state and federal laws concerning construction near or On, wetlands, lakes, and streams. Wetlands that are not associated with open water can be difficult to identify. Failure to comply may result in removal or modification of construction that mlates we law or other Penalties or codes. For more information visit the Department of NaMi Resources U _ wetlands idenbficadon web Page or contact a Department of Natural Resources service center. 8 " 8 o