2010/08/06 - LAND USE - LUP - Other

Home Browse Search

Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator APPLICATION FOR LAND USE PERMITS 5 OWNER TELEPHONE %a3 07_ i71/D 0 MAILING ADDRESS Zg2o �i9sc� /a.�y7 �.D CCI.w��it�7P �iy �S S3 f/ 011 PROPERTY ADDRESSS r:ce �,• s�c3a 7'39N i�w o LEGAL DESCRIPTION vC jyr S zu jY see 3o 7-39w /yk,,, ° TYPE OF PERMtr(S): SINGLE-FAMILY DWELLING 0 ADDITION 0 DECK 0 GARAGE/ACCESSORY STRUCTURE 0 9 BUNKHOUSEIX 59.692(IV)GAZEBO 0 STAIRS 0 FILLING/GRADING 0 CAMPING UNIT 0 'o COMMERCIAL BUILDING 0 COMMERCIAL ADDITION 0 COMMERCIAL ACCESSORY STRUCTURED c ` STRUCTURE/ADDITION USE: —Asv7✓4 0 (Home/Cabin; Commercial Business; Bedroom; Deck; etc/.) BUILDING CONTRACTOR: ::5C'v'c JG 5 ZO33 w j S5�7z 8 c U1 A PLOT PLAN MUST BE PROVIDED ON AN B Yn X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS o WILL BE RETURNED. n DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) r a 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. c °' 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NEWO " o BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, E AND INDICATE NORTH (N). z 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) Op ° TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK S' O (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS,AND (D) LOT DIMENSIONS. C7 G 4. SHOW THE LOCATION OF THE WELL (W), SEPTIC TANK(ST)AND DRAINFIELD (DF),AND ALL DISTANCES TO BUILDINGS, ROADS, LAKE, LOT LINES. L1v w S. 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 (rV PLANS MUST BE SIGNED AND DATED BY THE OWNER. G O NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN y NEEDED. THIS PERMIT IS SUBIECTTO ALL CONDITIONS LISTED BELOW: O 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. 2 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. 9 �. 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. i 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. C� NOT TO BE USED FOR HUMAN HABITATION. QUI 6. 7. T �v oo o Gl oa.E ro 6 E LsJ I declare that this application(Including any accompanying schedule)has been examined by me and to the best of my B 0 Z ra^,_�. P w' knowledge and belief itis true,correct and complete. 1 acknowledge that I am responsible for the detail and accuracyof all c m m e a. H Information contained In this application(including any accompanying schedule)and I further declare that I recognize that this a c Y > w N aR aa_ s a Information I am providing will be relied upon by the County of Burnett Wisconsin In de[ennlninq whether to Issue a permit. I .e 'e » w v y further accept all liability that may be a result of the County of Burnett relying o ation I am providing In this c yo g i„in: `='N v application. I agree to permit county officials charged with administrating cou ordinances other authorized person to have A n.°Z oo : access to the above-described miles at any on ble ti a for the pure of Inspection. to o & 0 - '- 08 a oo OWNER'S SIGNATURE .moi• -�-" 7�s9�w f0 a a to 0 m r O c (date) a d w q ' ZONING ADMINISTRATOR ( qan y °s° m i m s i a ts1 TOWNSHIP PERMITS MAY BE REQUIRED 6 THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE In U O O O O p I e- kv- fDi cficeol LAP toy Fra rk