2006/10/13 - LAND USE - LUP - Other

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10/02/2006 08:03 3492166 B C ZONING PAGE 01 Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator z APPLICATION FOR LAND USE PERMITS P OWNER /- }}/� Q ,[ S MIC(0.2 / Qn (ohne, &rvf��t TELEPHONE 6 � z '63b -3203 MAILING ADD1U'-55 6 0 8 O Oa! /Q S La h C.- � �!yM d vf� AL Al 55 11 C/ PROPERTY ADDRESS 309573yv,) ,o v,rl. )�oac� �an Sur/ (s-,,,I -S) d LEGAL DESCRIPTION L o I.t Vo / l?' DWELLING/BUILDING ❑ GARAGE/ACCESSORY STRUCrUREX ADDITION O STAIRS ❑ TYPE OF PERMIT(S): _ FILLINGIGRADING 13CAMPING UNIT O BUNKHOUSE O 59.692(iV)GAZEBO ❑ DECK❑ STRUCTURE/ADDITIONUSE: 54Lre-7e Ver$e�+q/ (/S2- x (MomelCabin; CommerClel 8uslness; Bedroom; Desk; etc.) e P BUILDING CONTRACTOR: Syn$c �- co'l 5I-r ac Ir-1 0 — a c, HO vd rC 71s `/9 - 3 /63 n� 1- A PLOT PLAN MUST BE PROVIDED ON AN 8 V2 X11 SHEET OF PAPER. ANY INCOMPLETE OR il1EGIBLE PLOT PLANS o WILL BE RETURNED. 'A 1 J" DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) a (CI• 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE, t�+ C t8�. 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW BUILDINGS/STRUCTURES(NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, I! AND INDICATE NORTH (N). .-I 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B) BUILDING(S) tt�� TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK (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 = P TO BUILDINGS, ROADS, LAKE, LOT LINES. S. INDICATE IF A WALKOUT BASEMENT IS PUNNED AND SHOW AREAS TO BE GRADED OR FILLED. Q "gg'I 6. IF SEPARATE PUNS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER,CONTRACTOR, ETC.,THE E 3 W PUNS MUST BE SIGNED AND DATED BY THE OWNER. d (� NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN t NEEDED. THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISPED BELOW: 1 O-P-0 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. F 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. C 4. NO STRUCTURES,INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER SETBACK AREA. G S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. B. NOT TO BE USED FOR HUMAN HABITATION. Q 7. _. ; Ida Gare that this appl,co, area(Irl complete. p any a cknoMedge of cam)has been eamrnea by me aM m the beet of my knowledge and belief It h true,Carted and Complete. i acknowledge Utet I am responsible far the detall a acourecy of as tf my k don ow contained In this appllatlon 0ncluding any acmmPanyhrp schedule)and I fuller declare that I rosognlee that this hdbmtaeon I a m�vph�will be rolled Upon by the County Or BUmelt Wisconsin In detetminh,g whether to lasus a permit. I further aooept all liability may be a reek or the Courcy of Btmhse relying on this kdarmatlon I am pretddbhg In this apPll®tbn. I spree to S w O [b+ Permit oaamy afnoalc dharpd with administrating ordharaafs ar ether authorized Perms to have asses to the above- S n dtsolbad premt at y reasonalArtlme for t riwx r#InapatBon, m o w+r SIGN HERE .�. (slpna[ure of owner M/lywll/1 contractor) \7Jr+ ._ �i it ia�Q t �. ZONING ADMINISTRATOR F (/t,n / ( ,e W �B Mt TOWNSHIP PERMITS MAY BE REQU = d , THIS PERMIT SHALL EXPIRE ONE YEAR FROM GATEFCOUNTV 8^w 1v ► 0 (cl °"I"Pru�'fa (� �i v(,