2015/06/24 - LAND USE - LUP - Other

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y z� Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator a APPLICATION FOR LAND USE PERMITS OWNER p 1'3. 6\�,^ TELEPHONE MAILING ADDRESS Q(1(S SSiJ Cly`,S �Y1. stn Inv `S's PROPERTY ADDRESS LEGAL DESCRIPTION I TYPE OF PERIvgs): SINGLE-FAMILY DWELLING ❑ ADDITION ❑ DECK ❑ GARAGE/ACCESSORY STRUCTURE ❑ m BUNKHOUSE ❑ 59.692(1V)GAZEBO O STAIRS ❑ FILLING/GRADING U CAMPING UNIT❑ — COMMERCIAL BUILDING❑ COMMERCIAL ADDITION C! COMMERCIAL COMMERCIAL ACCESSORY STRUCTURE ❑ STRUCTURE/ADDITION USE:�C�s ��. ' to r�h�—____----__..-....----� c (Home/Cabin; 1Commercial Business; Bedroom;``Deck;etc.) .S6 BUILDING CONTRACTOR: �', GAUL GzlL Cdr-'\IVC'V,O '\ n A PLOT PLAN MUST BE PROVIDED ON AN 8%X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS o WILL BE RETURNED. + 9 T, Q DIRECTIONS FOR PLOT PIAN DRAWING: (ARIAL OR TOP VIEW) ^ I 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 en ° ,, o BUILDING$/STRUCTURES(NO),INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, a Q, AND INDICATE NORTH (N). N c� 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B)BUILDING(S) TO CENTERLINE OF ROAD,(C) BUILDING MEASUREMENT($)TO THE ORDINARY HIGH WATER MARK , (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D) LOT DIMENSIONS. 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK(ST)AND DRAINFIELD (DF),AND ALL DISTANCES . TO BUILDINGS, ROADS,LAKE,LOT LINES. S. INDICATE IF A WALKOUT BASEMENT IS PIANNED AND SHOW AREAS TO BE GRADED OR FILLED. 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER, BUILDER,CONTRACTOR, ETC.,THE o Cj PLANS MUST BE SIGNED AND DATED BY THE OWNER. ` S� 111 i ly NO��-: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN NEEDED. G THIS PERMIT IS SU63ECT TO ALL CONDITIONS LISTED BELOW: r ti d 1. DRIVEWAY MUST MFFT DRIVEWAY WIDTH REQUIREMENTS WITHIN 6o DAYS OF PERMIT. 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. A 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. 4. NO STRUCTURES,INCLUDING RETAINING WALLS,ETC., ALLOWED WITI IIN THE REQUIRED WATER Q) SE I BACK AREA. S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. NOT TO B`E1 USED FOR HUMAN HABITATION. 6. S;kr n5 �L Ll / 7-See 4-tis,cI e-6/ o f co K ci/ _4 n c�p o ro 1 detdare that tlds application(Including any accompanying schedule)has been examined by me and to the best of my 9 a knowledge and beget R Is true,correct and complete. I acknowledge that I am responsUe for the detail and accuracy of all g ' WEE_Mo,; Information contained In this application(including any accompanying schedule)and 1 further declare that I recognize that this E9>'205 Y Infamlation I am providing will be relied upon by the County of Burnett Wisconsin In determining whether to Issue a permit. I @ '•^ a w= further accept all aablff that may be a reaidt of the County of Burnett relying on this Information I am providing In this a ' »N"Go N application. I agree to permit county officials charged witMadmirdstrating county ordinances or other authorized person to have " Q o $ access to the above-described premises at a"reasonable time for the purpose of Inspection. ' m p� p$p a�vt/,tAwO t) d O C o 0 0 OWNER'S SIGNATURE - v >= m P C y t O L I ( ) v ^a y T ZONING ADMINISTRATOR Itr -v �� c. mat+I TOWNSHIP PERMITS MAY BE REQUIRED CERSE � THIS PERMTT SHALL EXPIRE ONE YEAR FROM DATE OF IS A N » N N O O O O O MAR 16 2015 BURNETT COUNTY ZONING