Laserfiche WebLink
c, <br /> .. _ . - plibo-P <br /> is 0 0 <br /> Burnett County Office of Zoning Administrator c <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 } L. C .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- 3j j' <br /> lations of the State of Wisconsin. 5' ►, <br /> Fo, GkpliNki5 3RD, <br /> Owner or Agent (please print) Contractor or Surveyor C. <br /> Address Address �, <br /> Fri <br /> Phone Phone <br /> 0kU6I (3GJI N4 ()c f � � I.- W. -- <br /> Plumber Well Driller )J 1 <br /> I 6 ( / j A4 v <br /> Address Address AZ <br /> Phone Phone <br /> DESCRIPTION 4. Building Details 7. Sanitary Facilities <br /> No. Bathrooms <br /> 1. Work (check one) Type of Construction Dishwasher • <br /> '' )I <br /> New Building . .. Z.`le..'" Garbage Grinder <br /> Addition Size .�.' ft. x ; .4,. ft. Autom. Laundry .X. 4 <br /> Sanitary No. Bedrooms 4---, ("0 <br /> (43 <br /> Alterations Height ..,1 Stories . ... Waste Disposal <br /> Moving Area System <br /> Wrecking Septic Tank Size <br /> Mobile Home 5. Permits Required <br /> ..1._1 c Gallons ko �' <br /> Privy Subdivision c <br /> Absorption Field Site e, n <br /> Well <br /> Sanitary Soil Type s% a.. <br /> Subdivision Building •••n• Slope ./.' •{y a <br /> Well Perc. Rate / N. is • <br /> 2. Classification Other (Specify) Dry Well "NJ <br /> Zoning Dist. Coondditional Seepage Trench <br /> LanPrivy _ <br /> 6. Use (describe exactly, 1- Seepage Bed /_SX'c �3 <br /> 3. Lot Size Y� � <br /> fam. home motet etc.) FOR COMMERCIAL USE Is <br /> x ft. / -�,--4- f Plans Submitted r <br /> . -G'.. ^�s- n. sq. ft. J Plans Approved <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- <br /> posal systems, a copy of the percolation test must be attached to this application before a I g <br /> permit will be issued. Do not purchase or ins tall a septic tank, do any plumbing or start any aCS <br /> building until a permit has been issued. A permit may be revoked if misrepresentation of c) <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 INSPECTED BY THIS OFFICE AND APPROVED. <br />