2010/09/28 - LAND USE - LUP - Other - 34574

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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator a APPLICATION FOR LAND USE PERMITS y: N OWNER TELEPHON0Lc,L. ISEMON&I1� E s = 7�y-6S9 -3aao O - MAILING ADDRESS AA7 43 A ker v,\o v k PROPERTY ADDRESS 13 gI ( l.J 1 5 f� {� A M fPICU , L(_f`•{�0�11`TL 5 LEGAL DESCRIPTION NE-4 4 NEP Sec , 34 1 J9 N , — k 19 W , s TYPE OF PERMTT(S): SINGLE-FAMILY DWELLING D ADDITION D DECK ❑ -6rARAgCyACCESSORY STRUCTUREX w BUNKHOUSE D 59.692(1V)GAZEBO D STAIRS D FILLING/GRADING D CAMPING UNIT D I (b COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION D COMMERCIAL ACCESSORY STRUCTURED 1 I STRUCTURE/ADDITION USE: WOO Sheol, 1t71, r X /bf 6th SW5 '.'yAoVoble z (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) ( — BUILDING CONTRACTOR: 1 I v'!� 1A 1 B `\C ) ✓} tL R 6 ,)A IJQ,(f, k • O A PLOT PLAN MUST BE PROVIDED ON AN 8 Y2 X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS o WILL BE RETURNED. m — — '� n DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. C Y 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). V 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) I c ° TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK 2, W O' (OHWM) OF LAKE, STREAM OR RIVER AND WETLAND AREAS, AND (D) LOT DIMENSIONS.' 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK(ST)AND DRAINFIELD (DF),AND ALL DISTANCES TO BUILDINGS, ROADS, LAKE, LOT LINES. 1 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 /1 y PLANS MUST BE SIGNED AND DATED BY THE OWNER. 7p / NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE GONE WHEN W W NEEDED. W a THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: i + 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. r7 o 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. �+ zz 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. 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. S NOT TO BE USED FOR HUMAN HABITATION. 6. 7 a o 0n a c R n n 333 P+ HM 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 k is true,correct and complete. I acknowledge that I am responsible2 for the detail and accuracy of all a m Information contained In this application(including any accompanying schedule)and I further declare that I recognize that this f° 5.a a information I am providing will be relled upon by the County of Burnett Wisconsin In determining whether to issue a permit. I R iia Z : Y further accept all liability that may be a result of the County of Burnett relying on this Information I am providing In this c ' '"^ ; ;,,= i»N IV application. I agree to permit county officials charged with administrating county ordinances or other authorized person to have access to the above-described premises at any reasonable time for the purpose of Inspection. $ w n OWNER'S SIGNATURE Ci/��/� O�,O 3 A y aA a'mr1 m _n0 (date) o g o 3 o e = ZONING ADMINISTRATO (Cm FLGUn( C1,h TOWNSHIP PERMITS MAY BE REQUIRED THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE H„» f r r ogled i-o Ter-r y f c)my ll y q-"2q �� o � � 0000g