2013/02/11 - LAND USE - LUP - Other

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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator z APPLICATION FOR LAND USE PERMITS �\ OWNE TELEPHONE (,Q-&A-Lk6(S (177 G noel S. + 8rkyld(� L_EtgaYcl �(a- aala�tg� Cc) p � MAILING ADDRESS W ' v -74�3 Nicdte_- Aue. cl . RidliMIN 'E64a3 PROPERTY ADDRESS �49o1N Coon tu Roan C t�anb)t2ti w= !31 LEGAL DESCRIPTION The SVJ'/4 C-( ThB -4/VJ A c�Sect'ron 9, T40N- RA5W, -_ TOLLO Or TALKxU Wit, y of BURNI6TT, ca ATF o'F IJI _ LsIN - TYPEOFPERMIT(S): SINGLE-FAMILYDWELLINGO ADDITION)4 DECKO GARAGE/ACCESSORYSTRUCTUREO BUNKHOUSEE) 59.692(1V)GAZEBO O STAIRS O FILLING/GRADING O CAMPING UNIT C COMMERCIAL BUILDING 0 COMMERCIAL ADDITION O COMMERCtI�AL,ACCESSORY STRUCTURE ❑ STRUCTURE/ADDITION USE: TJCG�CX)YV\ -� �IrPP✓I [(JY�"1 T. (Ho`m1e,/,Cabin; Commercial Business; Bedroom; Deck; etc.) BUILDING CONTRACTOR: �DYh�OI.I)Y1 P,f � O � A PLOT PIAN MUST BE PROVIDED ON AN 8 Vz X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS F WILL BE RETURNED. - - e DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) n 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB) AND ALL NEW to 3 BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, s AND INDICATE NORTH (N). 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(5) �_' ~ r TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK 9-) ,n (OHWM)OF LAKE, STREAM OR RIVER AND WETLAND AREAS, AND(D) LOT DIMENSIONS. I p 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK (ST)AND DRAINFIELD(DF), AND ALL DISTANCES SJa' TO BUILDINGS, ROADS, LAKE, LOT LINES. 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. (�i w - 6. IF SEPARATE PIANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER,CONTRACTOR, ETC.,THE PLANS MUST BE SIGNED AND DATED BY THE OWNER. ifI NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VE NEEDED. RIFICATION MY BE DONE WHEN -4VIp� O THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: � Q N- 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 66 DAYS OF PERMIT. b r� 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE 3. NO GRADING ES SNCLUDING ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. O '- 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC., ALLOWED WITHIN THE REQUIRED WATER \ r. SETBACK AREA. 5. ACCESSORY SED FOR HUMAN HA PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE 01,11-4. VHx NOT TO BE USED FOR HUMAN HABITATION. s. OwNer to lD.�< 5(�rpte.M, � / beA E^r� MA"a '�.U13�Set � s J U c ]. ar,nno 6rom 33 A 1 netlare that Nis application Istrue, comping any accompanying nowledlarecule)hat I am examined expansib of me e d to l a Dent ur my 3 c .� jknowl2 Inforn do ao Delle)R Ishis a cwrea and wming a 1 ackaccompanying mac 1 am rand I furl for the retail and attinize of all E E a Information cam prem di[DTs application and by t any ecco ofa ung smenulns and I further declare that 1 rtsue.p that IDK E.> > 2 Information accept 1 am Drwlity that beberagedupon by the o u county, of Burrett Wisconsin In S Information whether ro Issue a Permit. 1 g'T= �' further on. l all liability p that may Deo result of me County of Burnett relying on MIS Inf.,.r n I r a pro hmd In mis °v f - "^ S w � acc iss tlot I agree to pernit countys at an reasonable time or me Pq oaenty onsp entts or IXDer aumodmtl person to Dav! O 4�4 n o $ r attlaa t0 the a6ovld¢satDen Promises a[any reasoreDle tlme forme purpose M Inspldlon. o d G N a a w r ry a4Ls osa � OWNER'S SIGNA s_ Zod F ZONING ADMINISTRATOR 'e _ "p �� Z -�-� � B % � / TOWNSHIP PERMITS MAY BE REQUIRED THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF IMTT COUNTY ZONING � ti 8