2014/07/10 - LAND USE - LUP - Other

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r Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator K 9 7 APPLICATION FOR LAND USE PERMITS =: OWNER �ell`r �Jlhe\� TELEPHONE(�)Z)ZyO-5'� Y I TT MAILING ADDRESS S>91 9 S55 E . Vfln1116A, 1o. Pwrkwu )�hPa u �, l nnr� o PROPERTYADDRESS LEGAL DESCRIPTION �J411`.Rr\i Ln14eSVLore Olv- u e(low L-rke/ Lv+5 3 a- L{ �loc.k 10 z TYPE Or PERMQ(5): SINGLE-FAMILY DWELLING 0 ADDITION DECK)( GARAGEIACCESSORY STRUCTUREE] BUNKHOUSE- 69.692(1V)GAZEBO❑ STAIRS❑ FILLING/GRADING ❑ CAMPING UNIT❑ COMMERCIAL BUILDING 0 COMMERCIAL ADDITION 0 COMMERCIAL ACCESSORY STRUCTURE 0 STRUCTURE/ADDITION USE: Sc reen �rf,G, (.JI C�e C z I, (H a/Cabin;Commercial Busineess Bedroom; Deck; eta.) Z ' BUILDING CONTRACTOR: �hlfPf S(tn \ .DE,,(,,4IJ,4)GYS (1/S 1.7-7 z nth A PLOT PLAN MUST BE PROVIDED ON AN 8 K X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS WILL BE RETURNED. DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) d 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW C) T BUILDINGS/STRUCTURES(NB), INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, z AND INDICATE NORTH(N). 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDINGS)TO ALL LOT LINES,(B)BUILDING(S) o J TO CENTERLINE OF ROAD, (C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK (OHWM)OF LAKE, STREAM OR RIVER AND WEFLAND AREAS,AND(D)LOT DIMENSIONS. 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES TO BUILDINGS, ROADS, LAKE, LOT LINES. > SLI 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. 1 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER, BUILDER,CONTRACTOR, ETC.,THE PLANS MUST BE SIGNED AND DATED BY THE OWNER. NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN 1 y NEEDED. r THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. ' r 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. n z 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMTTFED. s, 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER i SETBACK AREA. S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. NOT TO BE USED FOR HUMAN HABITATION. S 6. J i 'Z Dnnnn Q09 R 3 3 3 E = F � 2 � 333 $ c� 3 Ieclare a and is belief it is ion true,correct and comg any plete Iacknng owlede)M1at been examrespriedby me.ndfor thed Lathe best c ofmY 3 ? J R. � Knowledge andbeliefi in this a,correctanticluding a y accompadgethatl ule)and Ifurther teeareailand eccurary of all c'=> a. y Information lam Prov in this application(including any accompanying scbedpie)and f further declare that I recognize that this `_ D 9 u ! Y information Lam providing will be M atlupon by the Countyof BurnetteliingnnIndetermining w am prooIssuea PermitI further accept all liability not may bearesult of Me County of Burnett relying on this information lam providing in this g n - r_^r3 application. I agree M Permit county officials charged with administrating county ordinances or other authorized permn to _ _ . $ have access M the above-describetl premises at any rea/soJ/�abl Lima ror[ uryose of inspeRl ',o e > - a pt o y OWNER'S SIGNATURE ..// .'V S / III��r'(',<Ir�I1kf,_,IIII��r MM(1I1'��S n q g 88. EpVi (date I. C E V E � w >'� T 7^ 1' , 0 ZONING ADMINISTRATOR D ? 3 G ?�+ re TOWNSHIP PERMITS MAY BE REQUIRED MAY 15 2014 THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF I NCE ^ l' a ON5/,o Q(L[/ Nvf[11416}1-G„a�ey/ncy� s1 ZONING BURNETT COUNTY 88 m d'