2006/08/16 - LAND USE - LUP - Deck/Stairs/Patio/Retaining Wall/Sidewalk/Driveway/Campground Structures - 31471

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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator c z APPLICATION FOR LAND USE PERMITS g OWNER 8 ryas 4- a.n01 1 S S no TELEPHONE 7i5_ Q/ / �7453 a lJ o (D�O MAILING ADDRESS A 7 R6 I /I„fin Road FF We bs l i k)1 4, .i. f:;,...,(1F PROPERTY ADDRESS 793 L t- e Rocco/ Gt/ehs*er, uJ/ -5 89.3 , LEGAL DESCRIPTION GOV LOT Z W 04 CTi± F F EX CS 61t ) Vac P} (o(Q DWELLING/BUILDING 0 GARAGE/ACCESSORY STRUCTURE' ADDITION 0 STAIRS 0 F. TYPE OF PERMIT(S): Gl,e FDA r �v 4, FILLING/GRADING 0 CAMPING UNIT 0 BUNKHOUSE 0 59.692(1V)GAZEBO 0 DEC**. n ^ DQGK. Pet. r .7. STRUCTURE/ADDITION USE: P ca.rs u-n Gi�f'"j^I C (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) 4 c BUILDING CONTRACTOR: Se/T' s Vs A PLOT PLAN MUST BE PROVIDED ON AN 8 Va Xi SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PUNS LA 0 WILL BE RETURNED. DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) AA0 N • t S E. 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. t� d 8 a 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB) AND ALL NEW T BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, to , AND INDICATE NORTH (N). - -I 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT ONES, (B) BUILDING(S) TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK 4 (OHWM) OF LAKE, STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. Z 4. SHOW THE LOCATION OF THE WELL (W), SEPTIC TANK (ST) AND DRAINFIELD (DF), AND ALL DISTANCES ' w c TO BUILDINGS, ROADS, LAKE, LOT LINES. s'` 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. t) . -i 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC.,THE F i W PLANS MUST BE SIGNED AND DATED BY THE OWNER. i NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN E a NEEDED. t. THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: g } 1 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. ? :i , 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 (� SETBACK AREA. • 0 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. Or NOT TO BE USED FOR HUMAN HABITATION. 6. 7. ni & R 5 TA r'e - S I G I declare that this application(Including any accompanying schedule)has been examined by me and to the best of my knowledge �. and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all information g' c t=.• H contained In this application(including anyaccompanying r'� PPk ( g Pa yMg schedule)and I further declare that I recognize that this Information I ,� ,,, am providing will be relied upon by the County of Burnett Wisconsin In determining whether to issue a permit I further accept all . . N c w et N b liability that may be a result of the County of Burnett relying on this information I am providing In this application. I agree to ;T. �^ `^ `^ r" permit county officials charged with administrating county ordinances or other authorized person to have access to the above- S described premises at any reasonable time for the purpose of Inspection. [� If ^' o t zi P SIGN HERE 6/I- 7') Q'77� '/ ADO ">1 d g O x gnature of owner Bding contractor) (date) 6 `y a ° 1: „,,,,ZONING ADMINISTRATOR J' l l n l a ! TOWNSHIP PERMITS MAY BE REQUIRED pf�y N Riviii 1- 4 101-4e4 p i c b y Bry c? 6i0(4) &l b - D.L