2011/06/02 - LAND USE - LUP - Accessory Structure (Non-Bunkhouse) - 34889

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ro z Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator a ' APPLICATION FOR LAND USE PERMITS Z OWNER 1N �f ¢ ni ^ty Eoa tar -( TELEPHONE 00 MAILING ADDRESS (1 ,(� (/( V / ' �,( rpc�t Late L-n Luck WT 5-g853 m {C�?\y PROPERTY ADDRESS I �bl p ou , ed 2- LEGAL DESCRIPTION r 4- 0 TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ❑ ADDITION ElDECK ❑ GARAGE/ACCESSORY STRUCTURE cn 2. Le BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ STAIRS [IFILLING/GRADING ❑ CAMPING UNIT❑ COMMERCIAL BUILDING ❑ COMME�R/CIIAL ADDICTION El COMMERCIAL ,,ACCESSORY STRUCTURE ❑ A STRUCTURE/ADDITION USE: 6a I�tU�'G( G9C Z 0 (Home/Cabin; Comm cialbusiness; 8 oom; Deck; etc.) '\ BUILDING CONTRACTOR: O . A PLOT PLAN MUST BE PROVIDED ON AN 8 'h X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS C 0 WILL BE RETURNED. .n ° DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) m a O 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. d 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB) AND ALL NEW BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, AND INDICATE NORTH (N). N Z 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 J r1 (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS, AND (D) LOT DIMENSIONS. p o O 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK (ST)AND DRAINFIELD (DF), AND ALL DISTANCES TO BUILDINGS, ROADS, LAKE, LOT LINES. S. y W 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 o (N IT PLANS MUST BE SIGNED AND DATED BY THE OWNER. y J GV NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHENO- NEEDED. THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: r O O 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. n Y O 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. O 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. " d 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER SETBACK AREA. o 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. p NOT TO BE USED FOR HUMAN HABITATION. _ 6. �p Sleep(n5 G�,uL -,i1? 'S Gln `YhiS Sx-Lof", e 7. T o o c c v c ° 7 s 6 = I declare that this application(including any accompanying schedule)has been examined by me and to the best of my 3 0 knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all 9 m iu y Information contained in this apPllcatl°n(including any accompanying schedule)and 1 further declare that I recognize that this E. D 9 m information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to Issue a permit. I a A $w= further accept all liability that may be a result of the County of Burnett relying on this Information I am providing In this = N t„w�`-d' application. I agree to permit county ofFlcial;;tGrged with administrating county ordinances or other authorized person to have access to the above-described premises ap5ny reasonable tyA€for the purpose of inspection. ° ;, J � 60W WNW (,mss' OWNER'S SIGNATUREtI%/17, yam. --- - _.... .. ....__... . m c ° ao �-, (date) ZONING ADMINISTRATOR ' I ! `�in( r) a c w' o [i7 TOWNSHIP PERMITS MAY BE REQUIRED THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE Pei �� leWr pieced �1p bt,