2009/09/18 - LAND USE - LUP - Other

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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator a 3 z APPLICATION FOR LAND USE PERMITS `<= OWNER �K�s b� L 'CIC T P ONE S- i /� - o 7 „ MAILING ADDRESS F PROPERTY ADORES — /� G'L1 LEGAL DESCRIPTION Lr� q�A q TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ❑ ADDITION ❑ DECK❑ GARAGE/ACCESSORY STRUCTUR y S BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ STAIRS ❑ FILLING/GRADING ❑ CAMPING UNIT ❑ n COMMERCIAL BUILDING ❑ COMMER AL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ c 3 STRUCTURE/ADDITION USE: _ c (Home/Cabin; Commercial Bus' s; doom; Deck; etc.) BUILDING CONTRACTOR: A/t EES U' ^ n O 3 A PLOT PLAN MUST BE PROVIDED ON AN 8 Yz X11 SHEET OF PAPER, ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS o WILL BE RETURNED. h n DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. c 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NEW Q0 BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, B AND INDICATE NORTH(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(S)TO THE ORDINARY HIGH WATER MARK R. (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS,AND (D) LOT DIMENSIONS. p 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK (ST)AND DRAINFIELD (DF), AND ALL DISTANCES ) TO BUILDINGS, ROADS, LAKE, LOT LINES. 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. ' 1, 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC.,THE o W PLANS MUST BE SIGNED AND DATED BY THE OWNER. r 1' Vv 1 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: 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. ,z 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. a 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER y SETBACK AREA. 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. NOT TO BE USED FOR HUMAN HABITATION. 6. F 7. n n o 0 o y n o'S. FC -0 PP (including Y accompanying ) Y Y I declare that this application includin an accom an in schedule has been examined b me and to Me best of m knowledge and belief It is true,correct and complete. 1 acknowledge that I am responsible for the detail and accuracy of all m Information contained In this application(including any accompanying schedule)and I further declare that I recognize that this a to D a m Information I am providing will be relied upon by the County of Burnett Wisconsin In determining whether to Issue a permit I d n n m'? 'a further accept all liability that may be a result of the County of Burnett relying on this Information I am providing in this v y w L,? application. I agree to perm [ounty ofFldals charged with minlstratin county ordinances or other authorized person to have 10 m,°� o o 8 8 .r. access to the above-describe remises at any sonabl r th rpose of Inspection. ^ v H;,,sA w n c m 's1 u y e0000 „a„1 OWNER'S SIGNATURE O �l� q = fD °' a a m 3 = z 0 ( 2 w a 9 )c v^. � ZONING ADMINISTRAT f f'� 0 c w � o C�1 M a L. TOWNSHIP PERMITS MAY BE REQUIREDSEP 8:2009 THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF IS CE u w v, �� 80008 BURNETT ZONING