1996/03/26 - LAND USE - LUP - Other - 19234

Home Browse Search

Burnett County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator y m o 0 APPLICATION FOR LAND USE PERMITS 6 y M TO THE ZONING ADMINISTRATOR: The undersigned hereby makes application for a Permit fort work described and located as shown herein. The undersigned agrees that all work shall be done in actor- g dance with the requirements of the Burnett County Land Use Ordinance,Sanitation Code,and with I other = o applicable County Ordinances and the laws and regulations of the State of Wisconsin. 8 O OWNER �� 5 TELEPHONE (71$�(,3Jm HOME ADDRESS C v �( C�L�NT � A s �� w� � I 1 EMERGENCY/FIRE NUMBER St<ttii a £ ROAD NAME LEGAL DESCRIPTION(see tax receipt) o Snr,oal 7. 7w.v5k;e 31 IV, J�A14W., �o f Fi5 &'"e r 7 a CONTRACTOR Nim. o TYPE OF PERMIT(S): DWELLING/BUILDING ARAG ACCESSORY STRUCTUREADDITIONo Nri O 7ITARY PRIVYFILLING/GRADING CAMPING UNIT SUBDIVISION v VVV ` T] o a STRUCTURE/ADDITION USE: t S-(acn (Home/Cabin;Commercial Business; Bedroom; Deck;etc.) r 0 A PLOT PLAN MUST BE PROVIDED ON A SEPARATE SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS WILL BE RETURNED. O DIRECTIONS FOR PLOT PLAN DRAWING: (Aerial or top view) T 3 n T o a 1. All required dimensions or distances to be shown or drawn to scale. i7 2. Show the location and size of all existing buildings (EB) and all new buildings (NB) and indicatej North (N). y 3. Show dimensions in feet of the following: (a) building(s)to all lot lines, (b) building(s)to centerl ne of m road, (c) building(s) measurement to the ordinary high water mark(OHWM) of lake, stream or I iver. p x 4. Show the location of the well (W), septic tank(ST)and drainfield (DF), and all distances to buildings, U roads, lake, lot lines. 5. Indicate if a walkout basement is planned and show areas to be graded or filled. �J 6. If separate plans are submitted by an architect, engineer, builder, contractor, etc., the plans ITIL st be signed and dated by the owner. N NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED FOR ONSITE VERIFICATION BE- FORE A PERMIT CAN BE ISSUED. N O THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. CONDITIONS OF PERMIT: /, ' 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERN IT ISSUANCE. 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHOREL NE. `j 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN 75 FEET 01 THE W OHWM OF LAKES, PONDS, RIVER UNLESS SPECIFICALLY PERMITTED. 5. f 6. y o 2 m eat nm ^:� M 7. m mKi � c0 om y om Z fa! = n : 8. P : — m o : nc C o I declare that this application (including any accompanying schedule) has been examined by me and to the at of my w : ; T knowledge and belief It is true,correct and complete. I acknowledge that I am responsible for the detail and acuracy of v, m O om o : all information contained in this application(including any accompanying schedule)and I further declare that I cognize that this Information I am providing will be relied upon by the County of Burnett Wisconsin in determining wh her to is- I Is- sue a permit. I further accept all liability which may be a result of the County of Burnett retying on this inform tion I am 0: o providing in this application. I agree to permit county officials charged with administering county ordinance or other authorized person to have access to the above described premises at any reasonable time for the purpose of i pection. m !^ xry 1 SIGN HERE ( tura of own r r building contractor) atsl ': o ZONING ADMINISTRATOR I I T <nom TOWNSHIP P RMITS MAYBE REQUIRE j''` o 0 0 0 0 0 0 o m E� o0000000rA t_,..�-.. ._ _.