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1x'onp <br /> B6rnett,County 7410 Co. Rd. K, No. 102, Siren,WI 54872 Office of Zoning Administrator -V o 0 <br /> APPLICATION FOR LAND USE PERMITS 3 4 <br /> .. 0 <br /> N � <br /> Lake home 349-7053 <br /> OWNER Doug LaMere TELEPHONE Home 651-631-2191 0 \ UJ <br /> Lake home address: 6496 Highway 70, Webster, WI <br /> HOME ADDRESS 1359-27th Avenue NW, New Brighton, MN 55112 v O <br /> EMERGENCY/FIRE NUMBER 6496 ROAD NAME Highway 70 <br /> LEGAL DESCRIPTION(see tax receipt) 391635004800---35-39N-16W---2.080 ACRES--PCL GOV w <br /> yy�� m <br /> DWELLING/BUILDING ElGARAGE/ACCESSORY STRUCTURE El ADDITION IM PRIVY ❑ y <br /> TYPE OF PERMIT(S): c <br /> FILLING/GRADING ❑ CAMPING UNIT ❑ SUBDIVISION ❑ o; <br /> 5. <br /> STRUCTURE/ADDITION USE: Cabin — three season porch <br /> (Home/Cabin;Commercial Business; Bedroom; Deck;etc.) co <br /> BUILDING CONTRACTOR: Home owner <br /> v <br /> m <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. 0 ^ <br /> XI N <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) O o <br /> Z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. m <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE <br /> NORTH(N). y o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S)TO m v <br /> CENTERLINE OF ROAD,(C)BUILDING(S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF <br /> 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 TO <br /> BUILDINGS,ROADS,LAKE, LOT LINES. O <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 <br /> MUST BE SIGNED AND DATED BY THE OWNER. Ino I <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MAYBE DONE WHEN VII Cr <br /> NEEDED. Cr <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. c 1 <br /> CONDITIONS OF PERMIT: <br /> L. <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT <br /> ISSUANCE. O <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. C) �\ <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY � I <br /> PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> 5. <br /> A -anr- ��09 <br /> „ Um <br /> 3 n Q _. <br /> 6. � mCm o � 3 <br /> o <br /> 7. o : <br /> = Cr m <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the best of my c ID <br /> knowledge and belief it is true, correct and complete. I acknowledge that I am responsible for the detail and accuracy of m C <br /> n <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize CD m M, m <br /> that this information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to is- y O <br /> sue a permit. I further accept all liability which may be a result of the County of Burnett relying on this Information I am y <br /> providing in this application. I agree to permit county officials charged with administering county ordinances or other m <br /> authorized person t9ANve access to thea ve described premises at any reasonable time for the purpose of inspection. m <br /> CD <br /> SIGN HERE 99/19 <br /> signatuf ownee building�conttrractor) (date) <br /> ZONING ADMINISTRATO � ` . '' . . . fn <br /> fn to to VI"to <br /> _DO <br /> I N N ut N N N ut <br /> ut O [n CT O O <br /> TOWNSHIP PERMITS MAY BE REQUIRED 0 0 0 0 0 0 0 <br />