2012/12/07 - LAND USE - LUP - Bunkhouse - 36005

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z Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator a APPLICATION FOR LAND USE PERMITS n - d..y�� 651-715 -7gorA a OWNER I TELEPHONE MAILING ADDRESS --- ------- - � g---16.-- �.--- 1 -rh tl 55107 PROPERTY ADDRESS �— LEGAL DESCRIPTION —--- - (0 C5M Y5P _A1Z (kK 5w 50('5u Eu6� T5 tR5404r TYPE OFPERMIT(S) SINGLE--FAMILY DWELLING E ADDITION E DECK E GARAGE/ACCESSORY STRUCTURE E BUNKHOUSE 9 59.692(1V)GAZEBO E STAIRS E FILLING/GRADING ❑ CAMPING UNIT E v COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE 1-1b STRUCTURE/ADDITION USE: _ C,6vv- S� VW cW, . uL T�V�,J (Home/Cabin; Commercial1 ' eters Bedroom; Deck; etc.) IBJ BUILDING CONTRACTOR: O S A PLOT PLAN MUST BE PROVIDED ON AN 8 Yz X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS o _ WILL BE RETURNED. +f DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) 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 m im BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, 3 .� i AND INDICATE NORTH (N). 1 ` Z 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) r 1 TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK ,rc vLfJ (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS, AND (D) LOT DIMENSIONS. I p 4. SHOW THE LOCATION OF THE WELL (W), SEPTIC TANK (ST) AND DRAINFIELD (DF), AND ALL DISTANCES TO BUILDINGS, ROADS, LAKE,SLOT LINES. 5. INDICATE IF A WALKOUT EASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. ` 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC., THE 1 70 PLANS MUST BE SIGNED AND DATED BY THE OWNER. IJLyy I I NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN _ NEEDED. �J THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: r �\ 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. J p 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. CJ 4. NO STRUCTURES, INCLUDiNG RE'AINING WALLS, '_TC., ALLOWED WITHIN THE: REQUIRED WATER Q� Iwwv SETBACK AREA. rj�VySlla 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENNIIAA�LL GAkAGE/STORAGE ONLY. NOT TO BE USED FOR HUMAN/HABITATION. / p 6. 7, 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 d Infermatlon contained in this application (Including any accompanying schedule)and I further declare that I recognize that this .o E. > > Information I am providing will be relied upon by the County of Burnett Wisconsin In determining whether to Issue a permit. I ?T ! 7 further accept all liability that may be a result of the County of Burnett relying on this Information I am providing la this application. I agree to pennit county officials charged with administrating county ordinances or other authorized person to have access to the above-descrbed premises at any reasonable time for the purpose of Inspection. c gra OWNER'S SIGNATURE___." y a z n _ O > zz Cd ZONING ADMINISTRATOR TOWNSHIP PERMITS MAY BE REQUIRED NOV 5 2012 m THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF I NCE =" RNETT COUNTY ZONING