2011/11/16 - LAND USE - LUP - Other (3)

Home Browse Search

Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator a 3 APPLICATION FOR LAND USE PERMITSCo)gA39•y�'i OWNER TOr✓l and Susan N0'• `tel TELEPHON qs'a; MAILING ADDRESS -!?O �� SI~s*, Wits Dr Cko^k4zsn fMN 601� V � T " PROPERTY ADDRESS '� ��L{ Rd Webs'fery WI o _ LEGAL DESCRIPTION 5" . 3N -r qD1) R TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ADDITION 0 DECK 0 GARAGE/ACCESSORY STRUCTURE ❑ 4' BUNKHOUSE 0 59.692(1V)GAZEBO 0 STAIRS 0 FILLING/GRADING 0 CAMPING UNIT ❑ COMMERCIAL BUILDING 0 COMMERCIAL ADDITION�t0 COMMERCIAL ACCESSORY STRUCTURE 0 0 p STRUCTURE/ADDITION USE: Cabin fN u&nniskeg( AILort &tsameh+ o (Home/Cabin; Commercial Business; Bedroom; Deck; etc.)) r BUILDING CONTRACTOR: KWB Gen�'�aC.�'�n FCeI 1►r Yf NGaf n � w A PLOT PLAN MUST BE PROVIDED ON AN 8 Y2 X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS C o WILL BE RETURNED. y 6 DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) ern 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. ^- K 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NEW Rl w 3 BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, �' .. 5 AND INDICATE NORTH (N). N o 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDINGS) TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK (� p (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS, AND (D) LOT DIMENSIONS. �' C7 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK(ST)AND DRAINFIELD (DF),AND ALL DISTANCES i TO BUILDINGS, ROADS, LAKE, LOT LINES. vi 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. 'C 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC.,THE 1 90£ PLANS MUST BE SIGNED AND DATED BY THE OWNER. NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN y NEEDED. THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: ■} r- p U 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. Y 3 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. Q 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. Q 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER "D SETBACK AREA. V 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. d NOT TO BE USED FOR HUMAN HABITATION. 6• Qtw de(li-n 13 f-D be nc UosfffhAa'�75fcc}from+-4 c etinnryh,6Inwakim4fkaS 45f'ab1,.iF,ecf '!5H B (rwl+ ovp�tvf vog_a,3b1 f aoro 7. 8urn/� Cr)uTfinP'aJnin� MUST—ULnf,� Sake }baGkS nI1Drfn(+�nSfrL C1Tnr ° 3 3 aITI z 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 �, m d- RLL EL Information contained In this application(Including any accompanying schedule)and I further declare that 1 recognize that this c E.o >m „�, Information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to Issue a penult. I .°e , w= '. ad further accept all liability that may be a result of the County of Burnett relying on this Information I am providing In this o =„'^,v w o r application. I agree to permit county offldals charged with adminWVa[Ing county ordinances or other authorized person ro have a „ o o! g access to Me above-described premises at any asonabla time 6r the p pose of inspection. a o w N ti w f� > � S � y OWNER'S SIGNATURE ' A > (date) = a y. ZONING ADMINISTRATOR , �� y 0° °-n TOWNSHIP PERMITS MAY BE REQUIRED THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE ti o N'N o f ML- - c