Laserfiche WebLink
g1 winp <br /> 6 <br /> 0, 0 o <br /> Burnett County Office of Zoning Administrator s' g <br /> APPLICATION FOR SANITARY — LAND USE — BUILDING PERMIT ., 6� <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 5 <br /> all work shall be done in accordance with the requirements of the County Zoning Ordinance, p <br /> Sanitation Code, and with all other applicable County Ordinances and the laws and regu- t `� a <br /> la 'ons of the S t of 'sconsin. �`' 1-____. <br /> Owner or A e t 1 se print) Contractor o - 'e� 5 <br /> fer <br /> Address Address <br /> Phone Phone 1 --..� <br /> Plumber Well Driller <br /> 4 '7', .. - $YYE`<L- ,<,4, 4e:_ 0 z <br /> Address Address <br /> 63 '- 4q ; /c <br /> Phone Phone o <br /> DESCRIPTION 4. Building Details 7. Sanitary Facilities <br /> 1. Work (check one) Type of nstruction No. Bathrooms V <br /> New Building /s< a/ Dishwasher <br /> / Garbage Grinder <br /> Addition <br /> Size ft. x j, 7i ft. Autom. Laundry . .,,. r � <br /> Sanitary 1�. . No. Bedrooms V l <br /> Alterations Height . . . . Stories .... Waste Disposal 5 <br /> Moving Area System <br /> Wrecking Septic Tank Size <br /> Mobile Home 5. Permits Required z - <br /> . . . .i.5.r. . .. . Gallons <br /> Privy Subdivision a <br /> Absorption Field Site g' <br /> Well * • • Sanitary - ' . <br /> Subdivision Soil Type ,..1—A i) c <br /> Building Slope . .. d ?e i• al <br /> Well • •6. . , Pere. Rate a �' to <br /> 2. Classification , Other (Specify) Dry Well \ <br /> Zoning Dist. f .... _ <br /> Conditional Seepage Trench <br /> Land privy <br /> 3. Lot Size 6. Use (des ribe exactly, 1., Seepage Bed o <br /> fam. home, motel, etc.) FOR COMMERCIAL USE C� <br /> ft x ft. Plans Submitted en <br /> ft. Plans Approved i 1'e <br /> See cr, /i6bs' �,r <br /> NOTE: A preliminary site inspection must be made and site approval granted on all struc- `,' <br /> tures involving sanitary facilities before construction can begin. In the case of sewerage dis :i <br /> posal systems, a copy of the percolation test m ust be attached to this application before a g <br /> permit will be issued. Do not purchase or install a septic tank, do any plumbing or start any ea <br /> building until a permit has been issued. A permit may be revoked if misrepresentation of eo <br /> any of the information conveyed herewith is found to exist. Changes in plans or specifica- <br /> tions shall not be made without approval of the Zoning Administrator. SEWER SYSTEM <br /> SHALL NOT BE COVERED UNTIL INSPECT ED BY THIS OFFICE AND APPROVED. <br />