Laserfiche WebLink
Burnett County 7410 Co. Rd. K, No. 102, Siren,W154872 Office of Zoning Administrator _V 0 Z <br /> APPLICATION FOR LAND USE PERMITS 3 <br /> N <br /> N <br /> MINER f NVVV ,V f)9r, L TELEPHONE�SI-70� 97 <br /> G / `,�I / v a <br /> MAILING ADDRESS <br /> Y70-7 Ox- ri✓T( Ae_, vt° vV'DU�.t�N ��, .5 J��.�s ° <br /> r � <br /> 0 <br /> PROPERTY ADDRESS OFF OP R"O/JOC&C(, • ib"L —t)ojV8 re* <br /> LoT rr�� L' iTI 1 Ja 2✓C 0 Wt.•ME t'6 S AUL) <br /> LEGAL DESCRIPTION(see tax receipt AO/R.t K w a t ` � ��' � S / • <br /> Cn <br /> —a'fr „ S. NSC U ,t'. T8J2 ff7f, m <br /> DWELLING/BUILDING 1:1GARAGE/ACCESSORY STRUCTURE I ADDITION /" m o <br /> ,IQrl til, <br /> TYPE OF PERMIT(S): kLT.T� m c <br /> Ifo <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION ❑ Covn n <br /> STRUCTURE/ADDITION USE: a4-er367 o' <br /> M <br /> (Home/Cabin;Commercial Business;Bedroom; Deck;etc.) y <br /> BUILDING CONTRACTOR: int4cr'zf/F, <br /> A PLOT PLAN MUST BE PROVIDED ON AT LEAST AN 8%X 11 SHEET OF PAPER. ANY INCOMPLETE OR 3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. n <br /> 0 <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) O m <br /> T n <br /> T • Z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. n A <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE m <br /> NORTH(N). 1-0 <br /> n <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO m <br /> CENTERLINE OF ROAD,(C)BUILDING(S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF Z <br /> LAKE,STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. o <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES TO <br /> BUILDINGS, ROADS, LAKE, LOT LINES. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. N <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, ENGINEER, BUILDER, CONTRACTOR, ETC., THE PLANS 0 ) <br /> MUST BE SIGNED AND DATED BY THE OWNER. o <br /> o <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAY BE DONE WHEN S <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. o <br /> CONDITIONS OF PERMIT: <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT <br /> � I <br /> ISSUANCE. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY <br /> PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> 5. SETBACK AREA. This structure to be used as Private residential <br /> garage/storage only. Not to be used for human X n r a v D v -0 <br /> 6. habitation. @ 3 a 0 0 a ,D z <br /> N C:H N O <br /> 7. Z N N O t0 <br /> I declare that this application (ir, Y...a ,,, a Y..ra..,...a a ,.FYY,6r .,aa YrC„ ewa,,,a,au Y) ma dieu to the best of my o A <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of G cn C <br /> all information contained in this application(including any accompanying schedule)and I fu�$er declare that I recognize m m o v <br /> that this information I am providing will be relied upon by the County of Bur to termining whether to is- <br /> sue a permit. I further accept all liability which may be a resu <br /> Wett pn this information I ammproviding in this application. I agree to permit county offic� I o�rrty ordinances or other <br /> authorized person to have access to the above described pre onable time fo In purpose of inspection. ° s <br /> m : 0 : <br /> i 1 : <br /> SIGN HERE 2 8 2003 -a s-03 <br /> (signature of owner or building contra r) (date) a <br /> �: <br /> ZONING ADMINISTRATOR NE R Coutqly <br /> U� <br /> ZW En vi fA�'N <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br />