2013/05/16 - LAND USE - LUP - Other

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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator 3 APPLICATION FOR LAND USE PERMITS = 1j owNER�VI(�� I 1 f��i[� Ann5Lo fi E E� oN�� -317y/ iz fS(5.2�1_3 MAILING ADDRESS 5✓vt Jeeha�U �-IV�Erw,1- Edr��i AIN S_S_ Zlq PROPERTY ADDRESS)✓V ^ C. l V 1 7 %�42Lk 'FiL�2.AR� 2c7PTD, pR'P1'tuy(WI_ W_t—_ LEGAL DESCRIPTION IN ih CLV DWELLING 1 D ITIO o�[L1 1 CSM V 3 P�- TYPE OFPFRMIT(S): SINGLE-FAMILY DWELLING ❑ ADDITION ❑ DECK n GARAGE/ACCESSORY STRUCTURE BUNKHOUSE 0 59.692(1V)GAZEBO 0 STAIRS 0 FILLING/GRADING 0 CAMPING UNIT 0 COMMERCIAL BUILDINGn O COMMERCIAL ADDITION O COMMERCIAL ACCESSORY STRUCTURED STRUCTURE/ADDITION USE: rIX,f G C� /j��G Gje �{J )(,Z(� /6vX ZZ z (H/om�e/Cabin; 6gn`menial Busines , Betlroom; Deck; etc.) BUILDING CONTRACTOR: VGt I e .Or'/JTis — S ¢] A PLOT PLAN MUST BE PROVIDED ON AN B 9z X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS z o_ WILL BE RETURNED. DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) T AJJ c 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. - r1 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB) AND ALL NEW w BUILDINGS/STRUCTURES INS), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, J r o AND INDICATE NORTH (N). t i 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK I m (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS,AND (D) LOT DIMENSIONS. 4. , SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK (ST)AND DRAINFIELD(DF), AND ALL DISTANCES l -i TO BUILDINGS, ROADS, LAKE, LOT LINES. o IF, _ _5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. I•, Q�: 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC.,THE I1\ PLANS MUST BE SIGNED AND DATED BY THE OWNER. (1J v/" 3 / I NOTE: BUILDING/STRUCTURE LOCATIONS MUSF BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN I NEEDED. ,rjyy� 1 THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 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. 4. No STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER I� (/v - - —SETBACK AREA. (5 V ' S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. C17J NOT TO BE USED FOR HUMAN HABITATION. 6. 7. n F ^ 'n ' 3336 I tlmdare a that this application,coma any accompanying acknowledge has been responsible examined of r t and to l a pest of my 3 0 kformatio are!pellet it is Ilse,cornetts(including complete. I ccompanyin Nat I am rand Ifurthfor the reNll t I accuracy or all information Ia m inedpros di Ws appprsUon uponbyt any aunty of Burna Wisconsin and L further ng whether her I Issue p rmihat thisformZ further accept 1 am providing u will a relletl upon by the County of Burnell Wisconsin In S information wpam pros Bsue a permit. I ,R — 9 further hon. I all liaagree tory tpat may pe a results f .g County of Bum![[relying on Nis a'or I r a providing In Nls '� ='^ access to t 1 agree ro panni[county offdals c argeE wIM aEminlstraHn9 ounty oNlnances or other eutpoHz¢U person to have ^ gg: 88 aCCC55 CO Naabove-d!5(11pe set any 9aSo a [a' fOr m p p05!of nSpK[On. _ _ "� ? g ' // 3 OWNER'S SIGNATURE C ZONING ADMINISTRATOR_ A spn TO 15HIP P MRS MAY BE REQUIRED MAY 9'2013 THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUA BURNETT COU TY �og ZONING