2012/03/29 - LAND USE - LUP - Accessory Structure (Non-Bunkhouse) - 35440

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Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator g APPLICATION FOR LAND USE PERMITS N Z y R OWNER j TELEPH0 6 MAILING ADDRESS � � 9�z 7 PROPERTY ADDRESS <, I LEGAL DESCRIPTION c TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ❑ ADDITION ❑ DECK ❑ GARAGE/ACCESSORY STRUCTURE.K BUNKHOUSE ❑ 59.692(1V)GAZEBO ❑ STAIRS ❑ FILLING/GRADING CI CAMPING UNIT ❑ �- �o COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURE ❑ c `� STRUCTURE/ADDITION USE: C Z 0 (Home/Cabin; Co mercU Business; Bedroom; Deck; etc.) BUILDING CONTRACTOR: l "T ��- Lo�'"� �• � M O 3 A PLOT PLAN MUST BE PROVIDED ON AN 8 rh X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS o WILL BE RETURNED. 0 DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. n 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES (EB)AND ALL NEW !n w o BUILDINGS/STRUCTURES (NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, �' a AND INDICATE NORTH (N). N I pz 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) ,�° d TO CENTERLINE OF ROAD, (C) BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK w r (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 1 TO BUILDINGS, ROADS, LAKE, LOT LINES. 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 o PLANS MUST BE SIGNED AND DATED BY THE OWNER. 1 NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN .j NEEDED. � b THIS PERMIT IS SUBIECT TO ALL CONDITIONS LISTED BELOW: 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. n ZJN 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. d En 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. NOT TO BE USED FOR HUMAN HABITATION. 6. Pew 5)`;;u,4Zae t'D loc /0�f ro S4 r n 7. T no0ogc fine R n 8333in ?� I declare that this application(including any accompanying schedule)has been examined by me and to the best of my knowledge and belief It Is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all Information contained in this application(Including any accompanying schedule)and I further declare that I recognize that this a �, a a m N Information I am providing will be relied upon by the County of Burnett Wisconsin In determining whether to Issue a permit. I 3 -' m ? rb further accept all liability that may be a result of the County of Burnett relying on this Information I am providing In this LA access N?<"_^ application. I agree to permit county officials charged with administrating county ordinances or other authorized person to have ^ 8 g 8 ,., access to the above-described premises at any reasonable time for the purpose of Inspection. m S S w N w n OWNER'S SIGNATURE ��— n va »:rg n c m n rn m O (d ) ae Fez ZONING ADMINISTRATOR MAR 28 2012..I•. TOWNSHIP PERMITS MAY BE REQUIRED BURNETT COUNTY THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCCIONING to 00000