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Burnett County 7410 County Road K,No. 102, Siren,WI 54872 Office of Zoning Administrator c I b c <br /> APPLICATION FOR LAND USE PERMITS . <br /> m y VV <br /> e <br /> OWNER Anthony and Jodi Moellman TELEPHONE 763-434-2199 <br /> MAILING ADDRESS 3512 149M Lane NE Ham Lake,MN 55304 <br /> PROPERTY ADDRESS 2196 Clearview Rd. Rusk,WI <br /> v <br /> LEGAL DESCRIPTION T39N R14W Township of Rusk,Burnett County <br /> DWELLING/BUILDING GARAGE/ACCESSORY STRUCTURE❑ ADDITION❑ STAIRS ❑ S <br /> TYPE OF PERMIT(S): � <br /> FILLING/GRADING❑ CAMPING UNIT❑ -BUNKHOtfSE'Y 59.692(1V)GAZEBO❑ DECK❑ <br /> a <br /> STRUCTURE/ADDITION USE:_Cabin <br /> (Home/Cabin;Commercial Business;Bedroom;Deck,etc.) z `1 <br /> 0 <br /> BUILDING CONTRACTOR:_ cSent (� <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8%X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS <br /> WILL BE RETURNED. S Z� <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) k ( .. <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. 2 <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGSISTRUCTURES(EB)AND ALL NEW <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, t"1 t7 <br /> AND INDICATE NORTH(N). ren 5. <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S) to S H <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK <br /> (OHWM)OF LAKE,STREAM OR RIVER AND MEASUREMENT TO WETLAND AREAS. <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES C a <br /> TO BUILDINGS,ROADS,LAKE,LOT LINES. 'z I <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. Q o <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER, BUILDER,CONTRACTOR,ETC.,THE v I <br /> O <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. <br /> E <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> o Q <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. t <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. O <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. g „a, Q� <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER r� <br /> SETBACK AREA. vOTI <br /> 5. ACCESSORY STRUCTUREIGARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. G <br /> 6. <br /> �taa �gro <br /> 7. R r, g „ t=1 <br /> A 9. <br /> O <br /> • $ 5 5 <br /> 1 declare that this application(Including any accompanying schedule)has been examined by me and to the best of my knowledge and belief 5 '�[ <br /> It is true,correct and complete. I acknowledge that 1 am responsible for the detail and accuracy of all Information contained in this <br /> application(Including any accompanying schedule)and I further declare that I recognize that this Information 1 am providing will be relied 4 g : is Y <br /> upon by the County of Burnett Wisconsin In determining whether to Issue a permit 1 further accept all liability that may be a result of the m � vi v,ti <br /> County of Burnett relying on this information I am providing In this application. I agree to permit county officials charged with 6 �1' <br /> administrating county ordinances or other authorized person to have access to the above-described premises at any reasonable time for the 6 J0 .+ <br /> purpose of Inspection. to N T A <br /> c m 41� e > <br /> SIGN HERE <br /> ( re atuof of er ojf ialll kling ccooniractor) rA <br /> o n x <br /> ZONING ADMINISTRATOR �jl <br /> TOWNSHIP PERMITS MAY BE RE IRED t' T <br /> 1 006 <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FR ATE CiFISSUA CE J "� <br /> I'� BURNETT COUNTYZON NIS <br /> r <br /> 7f Y ttV � m o� l l fVICIY� ' <br />