Laserfiche WebLink
Dec 10 20 12: 09a Tom Endersbe 651-905-0444 p. 2 <br /> Burnett <br /> County o <br /> tlty 7}10 County Road K,No.10 Si S <br /> Z, _ren,WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS a <br /> OWNER V ' K a <br /> rj 21'�p`{%'EEEPHD"E I08t o2v7 ro�'c —G?$3 8 <br /> MAKING ADDRESS 3 4 -�a `'(G(Avt <br /> h1 SSS 23 'K R <br /> PROPERTY ADDRESS l <br /> I SWMI ca <br /> LEGAL DFSLTtIPRDN S u <br /> e <br /> TYPE OF--BUN I-P SIN -FAMILY DWELLING❑ ADDLTION❑ DECK❑ <br /> GARAGE/ACCESSORY STRlOURE <br /> BUNKHOUSE 59.692(IV)GAZeBD C1 STAIRS❑ FILLING/GRADING❑ CAMPING UNIT❑ ° <br /> S 2. <br /> COMMERCIAL BU LDING O COMMERCIAL ADDITION O COMMERCIAL ACCESSORY STRUCTURE❑ Z <br /> STRUCTURE/ADDITION G.Y Qi <br /> gess; <br /> BUILDING CONTRACTOR: 5 J /S.-� ,s. COS-7 <br /> A PLOT PLAN MUST BE OVIDED ON AN B X X11 SHEET OP PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLAIIS OQ Q <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT R <br /> DRAWING: (ARIAL OR TOP VIEW) <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. ti w <br /> 2. SHOW THE LOCA ON AND ST2E OF ALL EXISTING BtIILDTNGS/STRUCTURES(EB)AND ALL NEW <br /> BIJIIDINGS/STR ES(NM),INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, q' <br /> AND INDICATEN (N). <br /> 3, SHOW DIMENSIO S IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)SUILDING(S) G O a <br /> TO CENTERLINE ROAD,(C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK <br /> (OHWM)OF LAIQ:,STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS. <br /> 4. SHOW THE LOCA ON OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES <br /> TO LD S,R DS,LAKE,LOT LINES. ,•1 <br /> S. INDICATE IF A WA OUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. <br /> 6. IF SEPARATE PLAN ARE SUBMITTED BY AN ARCHITECT,ENGINEER,MURDER,CONTRACTOR,ETC,THE 1(� <br /> PLANS MUST BE NEO AND DATED BY THE OWNER, <br /> NOTE: BUILDING STRU `I <br /> / 7AUL <br /> LOCATIONS MUST BE STAKED S°AN ONSITE VERIFICATION MY BE DONE WHEtl 1� <br /> NEEDED. 5 <br /> THIS PERMIT 75 SUBIECi CONDITIONS LISTED BELOW: A <br /> 0 <br /> 1. DRIVEWAY MUST V EET DRIVEWAY WIDTH RES WITHIN <br /> PEME2. REMOVAL OR NG OF TREES AND VEGETATIONIS RESTRICTED ALONG HOREL � Z <br /> 3. NO GRADING OR 5. LAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER Q <br /> SETBACK AREA. <br /> S• ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. - <br /> 7. <br /> I dedwe that this aPPlkadon InehMhq aayaae B ° •SZ 3 �. 'B' �3f� <br /> ImoMedye and bellef k le wndudk and wed e�Iying mh ed )has been examined by me and to the beat of my <br /> Iwormafbn oasalned le UNe Ikatlm(hreludl ae that I am roolmolble for the def N and amoracy of all B 8 >y ! i Y <br /> Flforwstlon I am Providing be ruled mon the W[[ noty:m:Psnylny schedule)and I tnrmwng Whether <br /> that I reagnlee tlmt mle $ < <br /> farther a°capt all 14Md61y eat y be a reault of Me °Y ea�'�Wisconsin In determining tyrywher to lease a P"IL I <br /> Com"of Burnett rgWq m this information I am ' <br /> appllostlwl, 2 rem <br /> a0 Pwmk tlwrded tdtl:adminF nmP monq ardinartoea ar other auMthor m In this <br /> aocaas to the eboye-0egl miseaat w rye <br /> P Pre M suPectim. Peraen m haae 3 ° Rayl <br /> OWNERS SIGNATURE 2 nt B 8 a <br /> 1/ 7 zd/( n A > a n a'4 O <br /> (dm*) g 6: G S jj 6• z <br /> ZONING ADMINISTRATOR ion <br /> s _8 : <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE N <br /> JNJ0u$ <br /> Ntn <br /> 0 O <br />