2009/09/18 - LAND USE - LUP - Other

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Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator g n Z APPLICATION FOR LAND USE PERMITS y Z n OWNER ( n^ T�o�V r-JF TELEPHONE 763-Y97- 7 16 MAILING ADDRESS11 N 1 `-064 &):E a8� (�I �-✓1�, 1 ��L YYnDvefc� /YI rJ PROPERTY ADDRESS ly,2 ,2 I 1 l � IDDD JI t-ll JJ i �--` n 1 G oT 2 CSM V/U P336 r,4 v1 LvT-d LEGAL DESCRIPTION C yr�a rh' .e Di..e i,�' e_ r Lora lure Z11 Qs revel C 0A ivw o 0 TYPE OF PERMrITS): INGLE-FAMILY DWELLIN ADDITIONFvK GARAGEJACCESSORY STRUCTURE 5 4- vlwei( COveeip(ru1336 C BUNKHOUSE 69.692(1V)GAZEBO STAIRS FILLING/GRADING CA P GUNIT LCT g p ,{e( Irj /P o COMMERCIAL BUILDING CO MERCIAL ADDITION COMMERCIAL ACCESSORY STRUCTURE o ' STRUCTURE/ADDITION USE: a (Home/Cabin' Commercial Business; Bedroom; Deck; etc.) BUILDING CONTRACTOR: WIC Ste LMd L'{c�TC n � 6eo�r,Q Phe o K A PLOT PLAN MUST BE PROVIDED ON AN 8%X11 SHEET OF PAPER ANY INCOMPLETE OR ILLEGIBLE EGIB F PLOT PLANS C o WILL BE RETURNED. • 6 DIRECTIONS FOR PLOT PLAN DRAWING: (ARJAI.OR TOP VIEW) ini �y 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. C n 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW BUILDINGS/STRUCIURES(NB), INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, ��`I I v AND INDICATE NORTH(N). N I`!" 1 2' 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) ,°O �(_),) N TO CENTERLINE OF ROAD, (C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK m Q (� (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D) LOT DIMENSIONS. t7 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES TO BUILDINGS, ROADS, LAKE, LOT LINES. N 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 PLANS MUST BE SIGNED AND DATED BY THE OWNER. IU o NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN Q J NEEDED. 91 THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: 'r + CV 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. r Z 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. / 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER w`�r SETBACK AREA. 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. NOT TO BE USED FOR HUMAN HABITATION. 'y 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 Information contained In this application(including any accompanying schedule)and I further declare that 1 recognize that this c E. n > !z ,'; Information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to issue a permit. I 2 further accept all liability that may be a result of the County of Burnett relying on this information I am providing in this application. I agree to permit county officials charged with administrating county ordinances or other authorized person to have oo : access to the above-described premises at any reasonable time for the purpose of Inspection. �� 41O 3 T1 `d' y 000c ` y OWNER'S SIGNATURE /✓f^� yq >d m n o K ;g —f O ,In y ,"6 da ) ZONING ADMINISTRATOR l _. _ c ° n m TOWNSHIP PERMITS MAY BE REQUIRED THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE - � � 8000