Laserfiche WebLink
( -Oftice of Zoning Administrator Is –� <br /> i o� <br /> f 1 — LAND USE BUILDING PERMIT 3 <br /> ! CZ%CDnnty ;� ,FDRr ANITARy s ` <br /> v` f gvr-r.I CATION iU.Pgrxipn¢d,hereby makes itli,ation Bra Permit .or the work descr bed and locatedas m C O <br /> m iI+E ZONING n[JM s�61ne0fl greed ri. <br /> that II wp kstb0 ema m accordance with the requirements of the Burnett County Land Use <br /> 3 c O h <br /> o a' <br /> ,,asa cue ' d Iz he pPI c C unto Ord nances and iL laws and .egulaYons of the State of W n G `, O <br /> iT R �.Y <br /> AU <br /> yyy "' CONTRACTOR or SURV�OR or AGENT40 <br /> (OWNER Iplm V, it ... <br /> n � . .. <br /> ADDRESS <br /> Z" <br /> cess d\t�' J iV <br /> I .. .D RESS.S�_V....... .........�_ \....... ADDRESS` <br /> AUDNESS <br /> '..................1 PHONE.................................... ........................................... :\ <br /> LE f�}IF ...................................... .......... Q <br /> ... ......... ......_ ............................................... WELL ORI LEER <br /> PLUMBER y <br /> O R <br /> ................................... . . . <br /> ADDRESS -' ADDRESSell <br /> --- <br /> PHONE PHONF. ,_ 0 <br /> DESCRIPTION <br /> 4. Sanitary Facilities: � � � it\ <br /> 1. Work: . 2. New Building Details - No No B Bedroomss <br /> New Building ._eY:'.C' Type of Construction: f <br /> Addition FP..4SY^. ......+...... .. Septic Tank Size Gals. ...._^O V <br /> Sanitary Size ..g. '..... ft. x ._e�.`f..... R. _ a; i� <br /> .. ..... <br /> ption <br /> Filling Height............. Stories ............... 4a. AbsSoil Type <br /> ..Field Site: . }'.i <br /> . Moving Area Soil TYPe .................................... <br /> mr i <br /> Grading - .......... <br /> Slur, ............_................. ......... ° <br /> e _ <br /> Mohile Home 3. Use (describe,exactl 1 -fami!y3 Perc. Rate ...._........ ............._ ,� a - <br /> ara e, motel,etc. Dry Well -...... <br /> Privy .......... home.9 g 0 f <br /> Well - ...(� Seepage Trench e......... 12;_1......................... ...._ Privy J. <br /> Subdivisionr <br /> .................._.......................... Seepage Bed <br /> Location of proposed Gntle tee and ev§ting structures well,sewe, systems,reads,eto.,should do sketched in Fig- A. Include road V <br /> setback, side and back yard dimension and Iodation and delback from all bodies of wrmh, If ponene, is located at a hlghw$y Intel <br /> sedtipn, show the intersecting highways and the setbacks repaired along them and at the intersection. CLEARLY LABEL EXISTING G - <br /> STRUCTURES AND PROPOSED STRUCTURES AND ADDITIONS. _ L^. o <br /> — — <br /> --- ----------------------------- ------ ------------------ <br /> 5. Lot Size: - Fig. A. 6. Location: O <br /> N i0 0.� <br /> o :v <br /> aE��� <br /> t <br /> m. NCG< V <br /> Z Opn <br /> t p <br /> O <br /> ......................' ......�.�.'.. 6_'.. . ? rz <br /> Siyna[u�e of Owt r or Agent Date <br /> x <br /> Remarks .l✓..lr<<-.Q... ........................................_._....................................... ............. ,Iq <br /> t ; <br /> .................. <br /> :<. :......:.... <br /> ............................._.. ............................................... ....... <br /> .......... ....._.._...../_..............>-................. ..................................... .../.............`............:........... ..._. .. .. o <br /> Inspection Date ../..�..�.L.L...-. r.?.'.... u/:., s7�LExJ 1�i 4 0 0 0 0 0l <br /> NOTE: A preliminary site inspection must be made and Site approval Zoning Administrator allrslIt y ,l 0000_�� <br /> I granted on all sClueUups involving St Ile ttacB eu <br /> before construction can begin. In tha case of sewerage disposal systems, fl copy of the perca lation test must be attached I <br /> Ihls application before a Permit will be issued- On not t' <br /> Uure([if li install o lank,n do a ly,' l fo r...ng pr-so m any buil <br /> ing until a perm i[ has been issued. A peen it mny be revoked if misrepresentation ul any of toe:mfdnna Uon conveyed hey <br /> with is found FO exist. Changes in Plans or sPecilications shall unt bP m,tle without apProvalcof the Zoning Arlmin isl tato <br /> SEWER SYSTEM SHALL NOT BE.COVERED-UNTIL INSPECTED BY THIS OFFICE AND APPROVED. :� <br />