Laserfiche WebLink
07/09/2007 NON 17116 FAX 9207346276 0001/001 <br /> 07/09/2007 14:53 3492166 B C ZONING PAGE 02 <br /> Burnett County 7410 County Road K, No, 102, Sinn,WI 54872 Office of Zoning AdmInfistrartur <br /> APPLICATION FOR LAND USE PERMITS . <br /> OWNCR sE ���� TELEPHONE -f _33.1 x 7-' <br /> MAILING ADDRESS �1 <br /> r._... __ _37-3o JAM n'<a&jF-p c`rA'�gpF�kL1 <br /> :AP P4 RTY_ gppRESS�,� .J'FWy /�� .Sttluh &C C— �� �, 1� <br /> ��) e <br /> LEGAL DESCRIPTION <br /> 64 -r3 <br /> 1F y <br /> SINGLE FAMILY DWELLING,ffi GARAGUALCCSSORY STRUCTURE 11ADDTfION Q STAIRS A <br /> TYPE of PERMIT(S): <br /> FILLING/GRADIN <br /> G <br /> CAMPING UNIT Q BUNKHOUSE❑ 59.692(IV)GAZE80 Q DECK❑ <br /> STRUCTURE/ADDITION USE: <br /> (Home/Cabin; Commercial BuslnesS; Bedroom; Deck;etc.) <br /> BUILDING CONTRACTOR:y`L,SwL. r pF c <br /> A PLOT PLAN MUST BE PROVIDED ON AN B mA X11 SHEET PAPER. ANY INCOMPLETC OR ILLEGIBLE PLOT P S n Yf •S <br /> WILL 8E RETURNED. ` " f ` "1 <br /> DIRECTIONS FOR ROT PLAN DRAWING: (AR1AL OR TOP VIEW) ��" ��- I n 1 1 OL> 'Q e', <br /> N \ <br /> —ALL'RtOUIRtO WIMENSIVNs UK DIS ANCES <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NEW gg <br /> BUILDINGS/STRUCTURES(NS),INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, Ri rta� <br /> AND INDICATe NORTH(N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)SUILOING(S)TO ALL LOT LINES, (B) BUILDINGO n <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENTS)TO THE ORDINARY HIGH WATER MARK <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D) LOT DIMENSIONS. N y <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND GRAINFIELD(DF),AND ALL DISTANCE J p <br /> TO BUILDINGS, ROADS,LAKE,LOT LINES, w' <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED, Fp, y Ca <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER,BUILDER,CONTRACTOR,EIC„THE a ,� <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN ~ <br /> NEEDED. <br /> THIS PERMIT i5 SUBICCT TO ALL CONDITIONS LISTED BELOW: <br /> I. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. <br /> a. NO GRADING OR SItOREU4ND ALTEftA BONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. <br /> A. NO STRUCTURES,INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER O <br /> SETBACK AREA, <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY <br /> 6. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> _ <br /> 9r eta b <br /> 7. RtGM <br /> e nd beFe Met M aporrIct a d comple any Kmmpenying schedule)has been mml..a by me e�es! my�adg� <br /> ane aellvf It b CNa,COFrett end mmple[e. I admowlwge that I am respondbis For the dated and arzuracy of all IMaemaaon <br /> contained In thls appli'mu"(iridudlng My amvmpanying schedule)and I further declare that I reoagnire Bret this Information I <br /> RM providing will he called upon by the County of Bumott Wlaronaln In determining whether to Issue a p"IL I further accept all <br /> fiabilfty But may ba a Feaplt of rm County N 13"tt reying on this Information I am rDv Wl In this applkab on. I agree to a 3 a <br /> pennR county Oftldels charged with ednanlstratln other authorized pawn m have aoeess Lha ebpve- S <br /> deeoibad ptamisas at any Ig tlme Tor .7_ w A <br /> i <br /> OWNER'S SIGNATU <br /> (� <br /> (date) <br /> n� E <br /> ZONING ADMINISTRATOR ( n y to <br /> TOWNSHIP PERMITS MAY BE REQUIRED , <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE Iv N g U <br /> G <br /> .d. � Iii <br /> P2/m( �- e��er �� tl.�l+oTen l�h�lce 1-IP-off <br />