Laserfiche WebLink
fi - , — <br /> d 0 p <br /> Burnett County Office of Zoning Administrator g g <br /> °,APPLICATION FOR SANITARY — LAND USE — BUILDING PERMIT . <br /> To the Zoning Administrator: The undersigned hereby makes application for � ----% <br /> a Permit for the work described and located as shown herein. The undersigned agrees that >.-,- <br /> all work shall be done in accordance with the requirements of the County Zoning Ordinance, <br /> Sanitation Code, and with all other applicable County Ordinances and the laws and regu- Vi *-----'-4. <br /> lotions of the State of Wisconsin. / _ i; <br /> L7rr ,/ &rrr l l �-�' / �oN`/r�r�; 1 �/1 C—. <br /> Owner or Agent (please rint) Contractor or Surveyor <br /> Address Address S <br /> Phone Phone W <br /> Plumber Well Driller 1 a <br /> Address Address <br /> Phone Phone <br /> DESCRIPTION 4. Building Details 7. Sanitary Fac cities <br /> cA <br /> 1. Work (check one) Type of Construction No. Bathr ms <br /> 5 �,� Dishwash r <br /> New Building .. Garbage Grinder * <br /> /��G' g <br /> Addition <br /> Sanitary Size ft. x0. ft. Autom. aundry <br /> Alterations Height .. . . Stories .�. WasteNo. B•I .• <br /> Moving stem isposal �, <br /> Y 1 <br /> Wrecking Area Septic k Size4 <br /> Mobile Home 5. Permits Required Gallons ~� v' ‘ <br /> Privy Subdivision Absorption Field Site lc <br /> Well Sanitary Soil Type `� a <br /> Subdivision Building x Slope r'- .• p <br /> Well Pere. R• • � p � <br /> 2. ClassificationDry W= -' � <br /> Other (Specify) _ <br /> Zoning Dist. Conditional Seepag Trench '<\' D. <br /> Land privy <br /> 3. Lot Size 6. Use (describe exactly, 1- Seepage B-• i c <br /> fam. home, motel, etc.) FOR CO 1 1 '• IAL USE <br /> 4/'�'CIC�I"e5r4,7, <br /> Plans Submit d y <br /> Appro , <br /> Plans ,•d 'd <br /> NOTE: A preliminary site inspection must be made and site approval granted on all struc- O► C . <br /> tures involving sanitary facilities before construction can begin. In the case of sewerage dis- <br /> posal systems, a copy of the percolation test must be attached to this application before a <br /> permit will be issued. Do not purchase or install a septic tank, do any plumbing or start any <br /> building until a permit has been issued. A permit may be revoked if misrepresentation of 0 c <br /> any of the information conveyed herewith is found to exist. Changes in plans or specifica- ..3---- r <br /> tions shall not be made without approval of the Zoning Administrator. SEWER SYSTEM —3 ' <br /> SHALL NOT BE COVERED UNTIL INSPECTED BY THIS OFFICE AND APPROVED. <br />