2013/04/15 - LAND USE - LUP - Other

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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator 3 ` y� n APPLICATION FOR LAND USE PERMITS G OWNER 11.'/ RI dG2S 14AG, rAri JR Ei, 7 ti ,TELEPHONE 7�r ySS3 'ZJaa = . W C MAILINGADDRESS 2ZOI 0,,-uC G _ V Cfp;� 111 w/ J—Y�2y 7 !J n PROPERTY ADDRESS MAI(- �7- - 0111^y U-1 :5 _ DI LEGAL DESCRIPTION TRE OF PERMir(5): SINGLE-FAMILY DWELLING ❑ ADDITION ❑ DECK❑ GARAGE/ACCESSORY STRUCTURE BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ STAIRS ❑ FILLING/GRADING ❑ CAMPING UNIT❑ COMMERCIAL BUILDING❑ COMMERCIAL ADDITION CI COMMERCIAL ACCESSORY STRUCTURE ❑ L77 /I STRUCTURE/ADDITION USE: GAaRSE - 9l Tsµe/'/ - z (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) - A PLOT PLAN MUST BE PROVIDED ON AN 8 W X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS z WILL BE RETURNED. J DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) R ^C 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. M - 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW m 3 BUILDINGS/STRUCTURES(NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, d o AND INDICATE NORTH(N). o 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING($)TO ALL LOT LINES, (B)BUILDING(S) TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK v' (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND (D)LOT DIMENSIONS. C rj 4. SHOW THE LOCATION OF THE WELL(W)), SEPTIC TANK(ST)AND DRAINFIELD(DF), AND ALL DISTANCES TO BUILDINGS, ADS, LAKE, LOT LINE' 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. = c 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC.,THE r PLANS MUST BE SIGNED AND DATED BY THE OWNER. i b E NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN Y y v ' NEEDED. >< THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: � �n �V�nn 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. J n 2. REMOVAL OR CUTTING OF TREES AND VEGETATION 15 RESTRICTED ALONG SHORELINE. u 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED, CJ F 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER C J li .SETBACK- SETBACK AREA._ S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. NOT TO BE USED FOR HUMAN HABITATION. _ 6. T, E'p annn n: o � 2c Ag C I derided Mat MIs application ,oared any a¢olete. I ap schedule))has been examined!W me e d M flan Lust of my - e ,T .} I n rvidedgeIntimation and contbadained It h true,pones and complete. I acompanyin that 1 em rtnd I A6k for Ibe retell t I acconacy of all c �? Information contained d thisapplicationto relied onby(including any accompanying Bump t Wisconsin end I demnin dala,e But 1 home a e Mat this `- a a c �° further acn 1 am prtvldl,q will be tay A upon 6y Me County of Burnett WBmnsin In denformakq wham pr to •^•e permit I B 'c NrMa accept all agree Mat may to o resort h np County at inmetl ng county ty this antes r o 1 em rto rued In Mas _ awed;tion. I bone MpamR county satancMryon ble one for ompactos or other auMorizM person to have _ a E F1 2 � is , aaexs to the agave-0ex+lbed premises a[any reasonable tlme for Me puryase of Impactor. ? f OWNER'S SIGNATURE E e KVI., - &A O.r K1.F Ril'27O nv a = p ZONING ADMINISTRATOR MAR 282013 k ` tl ` ' /TOWNSHIP PER 1TS MAY BE REQUIRED THIS P MIT SHALL EXPIRE ONE YEAR FROM DATE OF I56UAOIGE_7 COUNTY ZONING "� .