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Burnett County 7410 Co. Rd. K, No. 102, Siren, WI 54872 Office of Zoning Administrator m o 0 0 <br /> APPLICATION FOR — LAND USE — PERMITS <br /> TO THE ZONING ADMINISTRATOR:The undersigned hereby makes application for a Permit for the work described and � m <br /> located as shown herein. The undersigned agrees that all work shall be done in accordance with the requirements of the m <br /> Burnett County Land Use Ordinance,Sanitation Code,and with all other applicable Courtly Ordinances and the laws and 3 <br /> regulations of the State of Wisconsin. m 0 1 <br /> OWNER WHISPERING PINES CAMP TELEPHONE &X(715)327-8158 a <br /> m_ m <br /> ADDRESS 11050 Whispering Pines Road Frederic WI 54837 m C-) <br /> 1 <br /> EMERGENCY/FIRE NUMBER 11050 <br /> f050 ROAD NAME Whispering <br /> Pines Rel- <br /> LEGAL <br /> A-LEGAL DESCRIPTION (see tax receipt) <br /> Cvr• 17 flhvn '17 N Range 1 RW r• r 1 at 3 <br /> CONTRACTOR Camp Staff and Giller Mascnry (for Block laying) <br /> TYPE OF PERMIT(S): DWELLING/BUILDING GARAGE/ACCESSORY STRUCTURE ADDITION XX o --}� <br /> SANITARY PRIVY FILLING/GRADING CAMPING UNIT SUBDIVISION oj <br /> m � <br /> STRUCTURE/ADDITION USE: Church Camp Building (Assembly area) o ° n <br /> (Home/Cabin;Commercial Business;Bedroom; Deck;etc.) z o <br /> 0 <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (Aerial or top view) <br /> 1. Show the location and size of all existing buildings (EB) and all new buildings (NB) and indicate North (N). r <br /> 2. Show the location of the well (Wi,septic tank (ST),and drainfleid (DF). o <br /> 3. Show dimensions in feet of the following:(a)building to all lot lines,(b)building to center line of road,(c)building <br /> measurement to the ordinary high water mark of lake,stream,or river. e 0 <br /> 4. If separate pians are submitted by an architect,engineer,builder,contractor,etc.,the plans must be signed and <br /> dated by the owner. C <br /> NOTE: BUILDING/STRUCTURl 4.WATIO.NS MUST BE STAKED FOR ONSITE VERIFICATION BEFORE A PERMIT CAN BE ISSUED. 7I a to <br /> c <br /> � o a <br /> a <br /> W. <br /> 1' <br /> �� , I � jal,l►�'few 0 <br /> 40 <br /> N <br /> O <br /> We now have a cement slab 201x 301 , we now <br /> 'I want to enclose that area with cement block ° <br /> walls, this will house our walk-in freezer <br /> cooler and provide an area for dry food <br /> storage. This will be a one storie, 2000' m <br /> roam for food storage.Please see #16554 <br /> �Ct?cE for the beginning of this project, also <br /> note that we did call your office changing IV <br /> the needed size of the cement slab from a {I�\ <br /> 10'x27' to a 201x301 . in September. <br /> Attached is camp plot map.The roof for this T1 <br /> addition will be pitched, of wood rafters I <br /> and shingled roof to match the rest of the <br /> structure. We will Eaitend the furnace <br /> ducting to beat the new roem / 1p gas <br /> flu nac c. f <br /> M of rn v rn g v <br /> �. 9ii '-' a° a <br /> CONDITIONS OF PERMIT: ' g z i Z a o <br /> $j 3 <br /> a <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT ISSUANCE. zPo o o 1 <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. !��£ ' ` M <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. ICJ I"n Q m <br /> g <br /> C <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my knowl- M <br /> edge and belief it is true,correct and complete.I acknowledge that I am responsible for the detail and accuracy of all informa- 13 m <br /> tion contained in this application(including any accompanying schedule)and I further declare that I recognize that this infor- '. 9 G <br /> mation I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to issue a permit. 1 8 8 <br /> further accept all liability which may be a result of the County of Burnett relying on this information I am providing in this ap- <br /> plication.I agree to permit county pffiFials charged with administering county ordinances or other authorized person to have O - <br /> accbas to the stave deacri I s at any reasonable time for the purpose of inspection. r. - P <br /> mE 38 =' <br /> m i 'a A o i <br /> SIGN HERE w - B 8 <br /> (signal owner or Ing contractor♦ (dAte) <br /> gg a <br /> i 8i � '• ` <br /> rY ZONING ADMINISTRATOR �.- '• g ' i i <br /> TOWNSHIP PERMITS MAY BE REQUIRED �u'stn' y"=rn'o o�b m <br /> 88888888H <br />