2009/05/29 - LAND USE - LUP - Other

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2009-Apr-06 03: 11 PM 3M 6517331106 1/1 ro o Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator APPLICATION FOR LAND USE PERMITS W OWNER TELEPHONE ?!S 5 -5365 ff � 2 b- b CrMAILING ADDRESS A/W ALLWa 9/11S /ri/ &51 k28-53 re8 e6tL PROPERTY ADDRESS x4971 CRAA(&---)eRY ZW 'bAA1'&1'wy res 5'y830-g7s7 f� g (4 LOT.3 616 55W As gW4cux aAl PLAT Rccalebeb +S bxaAww7- LEGAL DESCRIPTION Ala 49.75b7, .WSJ 7#e eWFK'E aF/QE9IS7Oe as:&mi6S Btt2✓GTT o —n j— TYPE OF PERMTr(S): SINGLE-FAMILY DWELLING C] ADDMONX DECKJR GARAGE/ACCESSORY STRUCTURE❑ w BUNKHOUSE ❑ 59.692(iV)GAZEBO ❑ STATRS❑ FILLING/GRADING ❑ CAMPING UNIT❑ 1P S COMMERCIAL BUILDING❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE❑ 9 STRUCTURE/ADDITION USE: O L C 16&j e'C /OX I � o (Home/Cabin;Commercial Business; Bedroom; Deck;etc. BUILDING CONTRACTOR: sa 1 n A PLOT PLAN MUST BE PROVIDED ON AN B%X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS o ,� WILL BE RETURNED. IC C� a DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIELV) c 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. C a 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW tore BUILDINGS/STRUCTURES(NB),INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, AND INDICATE NORTH(N). N c 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDINGS)TO ALL LOT LINES,(B)BUILDING(S) q TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENTS)TO THE ORDINARY HIGH WATER MARK Fa Q (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS. O 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES TO BUILDINGS,ROADS,LAKE,LOT LINES. wSo 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER,BUILDER,CONTRACTOR,ETC.,THE o PLANS MUST BE SIGNED AND DATED BY THE OWNER. (u, NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN NEEDED. ~ I ' C. O THIS PERMIT IS SUB7CCT TO ALL CONDITIONS LISTED BELOW: 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. n 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. z 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. 4. NO STRUCTURES,INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER SETBACK AREA. 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE(STORAGE ONLY. NOT TO BE USED FOR HUMAN HABITATION. 6, iyp� gg gg �[un 7. I declare that this application(including any accompanybq schedule)has been examined by me and to the beg of my g o Pd R kndetedge and belief R IS true,wrrect and Complete. I acknowledge that I em responsible for the detall and aoo racy of all , K' a Information aontalned In this application(Indus h g any accomparrying schedule)and I further declare that I recognize that this 9 9 g1 N Irdbrmaton I am Providing vdit be relied upon by the County of Burnett Wl=nsin In determining whether to Isaue a permit I 7t a w 5 i further accept all llablilty that may be a result of the County of Burnett relying on this Information I am providing In this application. I agree to permit county Officials charged with administrating county ordinances or other authorzed person to have � s access to the above-desaibed pretnlses at my reasonable time for the Purpose or inspection. to ,pit 11 a + C 3//q, / mit P �gB OWNER'S SIGNATURE eI /; 7 �%w ya E'm n Ly w'n,Ox ZONING ADMINISTRATOR_ �� '� LVt,✓� �Cj GI./> te) TOWNSHIP PERMITS MAY BE REQUIRED m THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE L)