2014/07/10 - LAND USE - LUP - Other (3)

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Burnett County 7410 County Road K.No. 102, Siren,WI 54872 Office of Zoning Administrator - APPLICAT�ON�POR �AN�D USE-PERMITS OWNER vel1Ow aK A/M`L ttv //JJ f TELEPHONE J hoyngs (31a;sd� f � 6S/-`/RLI- S'3G1 � _ pp T� MAILING ADDRESS 275- N. //4'47,r51 1,d 51. /uU /r �/ � s PROPERTY ADDRESS a�-jy2 L-b,n Sl t7Anbur, � w.i. LEGAL DESCRIPTION 10 xaqGF A� ��+ - f_k) C TYPE OF PERMIli SINGLE-FAMILY DWELLING 0 ADDITION_0 CK 0 GARAGE/ACCESSORY STRUCTURE,4 BUNKHOUSE 0 59.692(1V)GAZEBO 0 STAIRS 0 FILLING/GRADING 0 CAMPING UNIT❑ J COMMERCIAL BUILDING❑/�C�OMMMERCIAL ADDITION❑ COMMERCIAL ACCESSORY STRUCTU-�RE!0, STRUCTURE/ADDITION USE: GArgge L a t"z� (Home/Cabin;Commercial Business; Bedroom; Deck;etc.) BUILDING CONTRACTOR:1 'I„,�ss��Y 5,q( f q- 1 '`cA4 'smS. ” (/ n I ` J l OY1CB"CY c LJbvl' � Elva. Ant r,)-r r c �c¢ mnc�nr J n yk A PLOT PLAN MUST BE PROVIDED ON AN 8'h X11 SHEET OF PAPER. ANY INC` PU TE OR ILLEGIBLE PLOT PLANS WILL BE RETURNED: c_ - DIRECTIONS FOR PLOT PIAN DRAWING: (ARIAL OR TOP WEW) 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 J BUILDINGS/STRUCTURES(NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, AND INDICATE NORTH(N). p 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDINGS)TO ALL LOT LINES,(B)BUILDING(S) TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENTS)TO THE ORDINARY HIGH WATER MARK - ip (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D) LOT DIMENSIONS. _ Q 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES - w TO BUILDINGS,ROADS,LAKE,LOT LINES. = 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. L 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER, BUILDER,CONTRACTOR,ETC.,THE C PLANS MUST BE SIGNED AND DATED BY THE OWNER. NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN I� NEEDED. (TI I THIS PERMIT IS SUBIECT TO ALL CONDITIONS LISTED BELOW: 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. = z 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. L_ 4. NO STRUCTURES, INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER {kU SETBACK AREA. 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. NOT TO BE USED FOR HUMAN HABITATION. - S 6. T „ z > nnnn > - � I; _ cs n 6 ? 2 F I declare that this application(including any accompanyingschedule)has been examined by me and to the best of my knowledge and belief it is true,correct and complete. 1 acknowledge that I am responsible for the detail and accuracy of all -Information contained in this application(including any accompanying schedule)and IFurther declare that i remgnizethatthis _ 7 ams ; information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to issue a permit. 1 2 _ - S Further aoept all liability that may he a result of Ne County of Burnett relying on this information I am presiding in Nis i m'_ application. I agree to Permit county o r dls thaged with administrating munty ordinances or other authorized person to E_ n`=' S = - have access to the above-described Tses at an reqs able time ror the $ Is y purpose of'nspeRion. > OWNER'S SIGNATURE 3 n d 288ao= a5 ZONING ADMINISTRATOR !� -� - �1�('_�➢� zo,F J :, o C TOWNSHIP PERMITS MAY BE REQUIREDp��pf� ' THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISS RAT.f��E,TT COUNTY s LONINQ