2006/04/24 - LAND USE - LUP - Other

Home Browse Search

Burnett County 7410 Co. Rd. K, No. 102, Siren,WI 54672 Office of Zoning Administrator M a � APPLICATION FOR LAND USE PERMITS 3_ XAI n O �^ O Ct nn n ` TELEPHONE �ij 51 `i 30 -j Il' 1 O W OWNER Gig.. oUL gra, �C/� i)I C�I�E� m MAILING ADDRESS 3U�) JdWj)p � C+- 5 f II wafer M N 5 50q 2 ^8 W I 1-' o mrd PROPERTY ADDRESS {,$$O� $'�� )-..Gvl�c Rte+ DA-bo(t/ WS J LEGAL DESCRIPTION(see tax receipt) ��II DWELLING/BUILDING I,d GARAGE/ACCESSORY STRUCTURE ❑ ADDITION ❑ �' TYPE OF PERMIT(S): FILLINGIGRADING ❑ CAMPING UNIT ❑ SUBDIVISION ❑ o n STRUCTURE/ADDITION USE: HpMP s/CLt.bi (Home/Cabin; Commercial Business; Bedroom; Deck, etc.) U BUILDING CONTRACTOR: A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR m 3 ILLEGIBLE PLOT PLANS WILL BE RETURNED. /1 C n A 'hN Cl 1 U' NI 1 p a DIRECTIONS FOR PLOT PLAN DRAWING• (AERIAL OR TOP VIEW) T ?I � Z 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. - m A 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS (EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m — o 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B) BUILDING(S)TO m f� a CENTERLINE OF ROAD,(C)BUILDING(S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF ) Z LAKE,STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES TO p. BUILDINGS,ROADS, LAKE, LOT LINES. Iii5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. o lin 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER, BUILDER,CONTRACTOR, ETC.,THE PLANS 2. o MUST BE SIGNED AND DATED BY THE OWNER. 1° ^�N O NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN K� NEEDED. THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. o CONDITIONS OF PERMIT: o � o 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT ISSUANCE. O 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. Fa 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER SETBACK AREA. ,.,, I'_I L� �,e qr� r 7�Jk f- L k-& 5. NtW CC��In 15 /hditkk 7fV & l 11 from Offw02 OT ".'G.. A WC� r- DODO slab A 8q Ft e- lG�7t3n Of B c A ° a f m m x 3 n m 0,9 m A 6. a6i �v be. j a)'�in year b-F CGmp =� � N y o 3 �Q rer�a vc Z 0 y o 7 h rIA)Zt I I " ` m n: O I declare that this application cluding any accompanying schedule) has been examined by me and to the best of mya U : A knowledge and belief it is true, correct and complete. I acknowledge that I am responsible for the detail and accuracy of m � all information contained in this application(including any accompanying schedule)and I further declare that I recognize that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- ; sue a permit. I further accept all liability which may be a result of the County of Burnett relying on this information I am o providing in this application. I agree to permit county officials charged with a ror they ; m authorized person to have access to the above described premises at any rea I I p r its ton. r n / h m nE SIGN HERE ` o (s�ignaattunre of owner or building contractor) r,1, WR E E E ZONING ADMINISTRATOR \J ji 1 1 �`�n( h ` BURNETT COUN r1 O tT0 U (I� NO TOWNSHIP PERMITS MAY BE REQUIRED ZONING TH PERMI SHA L EXPIRE ONE YEAR FROM DATE OF ISSUANC nif � r� �R1`lc�d f� �lef� Schu��c .e�a�l, 4-aU-Db