2014/07/10 - LAND USE - LUP - Other (4)

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Burnett'County 7410 County Road K, No. 102, Siren,WE 54872 Office of Zoning Administrator APPLICATION FOR LAND USE PERMITS OWNER Glenn Doriolt TELEPHONE 715-866-9780 1 0 0 MAILING ADDRESS 9698 MalWre Lake Rd Webster WI y PROPERTY ADDRESS 6716 Old LEGAL DESCRIPTION see attadled D TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ADDITION DECK X GARAGE/ACCESSORY STRUCTURE BUNKHOUSE a 59.692(1V)GA2E80 STAIRS MILLING/GRADING CAMPING UNIT COMMERCIAL BUILDING COMMERCIAL ADDITION COMMERCIAL ACCESSORY STRUCTURE '9 STRUCTURE/ADDITION USE: 5torade units 6 (Home/Cabin;Commercial Business; Bedroom; Delle; etc.) BUILDING CONTRACTOR: Northland Builders Inc A PLOT PIAN MUST BE PROVIDED ON AN 91h X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS C WILL BE RETURNED. 't p DIRECTIONS FOR PLOT PLAN DRAWING: (AREAL 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 BUILDINGS/STRUCTURES(NB),INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, in 3 AND INDICATE NORTH (N). v 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S) N y TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK Q o (OHW M)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS, 3 tpl 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(Sl)AND DRAINFIELD(DF),AND ALL DISTANCES D-3l�1 TO BUILDINGS,ROADS,LAKE, LOT LINES. 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER,BUILDER,CONTRACTOR,ETC.,THE X PLANS MUST BE SIGNED AND DATED � BY THE OWNER. Q, a 1 l(l-Ty-I s 7 NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED 50 AN ONSITE VERIFICATION MY BE DONE WHEN nI 1 _ n 1 NEEDED. {-@,�-� 1 THIS PERMIT IS SUBTECTTO ALL CONDITIONS LISTED BELOW: — Phco�t'LrI JCr+Q' a-U+'[_ Q'A'Y/�'I OF 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMITUNE. 2. REMOVAL OR CUTTING OF LATREES AND VEGETATION O RESTRICTED ALONG SHORELINE d = Z 3. NO GRADING ESS INCLUDING ALTERATIONS ARE ALLOWED UNLESSSPECIFICALLY HEREPERMITTED. 4. NO STRUCTURES,INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER Pj O z SETBACK AREA. S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. NOT TO BE USED FOR HUMAN HABTfAT10N. _ / y 6. ,;Ajd or Pe,4_) 'S'f(1Rfci! �/!/1 GJr`�/wi/ �I�O'K -(/4i "0. CONS'IYu•' U 7. 6� Ajo- 60A ):art-, `1 Cdn)M �^�Jrdlemn�f� hA 'w�CJ ? � a� ' F , n 3 3 3 _ eclare MM coif application(including Z 3 2 R Itlo - _ Ig any accompanying schedule)has been examined by me and M the bast of my knowledge and belief itis true,correct and complete. I acknowledge that lam responsible for the detail and a cumne,of all Information contained In this application(includi,g any accompanying schedule)and Iformer declare chat l meogdize that Nis LMorroWsml m providing will be relied upon by Me County M Burnett Wisconsin in draimmini,gwhether to Issue a permit I former accept all ' R IiabiliWMatmaybearesonofthe Countyof Bummmlyingon Misinfarmationlampmvidinin Misapplkadon. laclni In _ permit county officials chomped with administrating county ordinances or other authorized Person to have aoszs M the above- described premises at any reasonable time for Me purpose of inspection. R 6 g W w cw of A— +1QQy0000 OWNER'S SIGNATURE /�. .J date c x o MM Fa ZONING ADMINISTRATOR _ �� LI `9 TOWNSHIP PER ITS MAY BE REQUIRED MAY 27 2014 THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISS E rB�ooS BURNETT COU ZONING