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Burnett County 7410 Co. Rd. K, No. 102, Siren, WI 54872 Office of Zoning Administrator d m o 0 <br /> APPLICATION FOR — LAND USE — PERMITS <br /> d = <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 c <br /> Burnett County Land Use Ordinance,Sanitation Code,and with all other applicable County Ordinances and the laws and a' <br /> regulations of the State of Wisconsin. H m to <br /> m � <br /> Terry Swenson, John Schroeder and m m o <br /> OWNER Mark Spease TELEPHONE 612-456-0795 0 <br /> m <br /> m <br /> ADDRESS 1958 Covington Lane, Ea an, MN 55122 <br /> EMERGENCY/FIRE NUMBER 1431 Perry Lane ROAD NAME Spooner WI 54801 <br /> 0 <br /> r-I <br /> LEGAL DESCRIPTION (see tax receipt) <br /> CONTRACTOR <br /> Sa1P co <br /> m <br /> TYPE OF PERMIT(S): DWELLING/BUILDING GARAGE/ACCESSORY STRUCTURE X ADDITION p z <br /> co <br /> 0 <br /> SANITARY PRIVY FILLING/GRADING CAMPING UNIT SUBDIVISION a <br /> P. <br /> 0 <br /> Ln <br /> 0 <br /> STRUCTURE/ADDITION USE: Storage Shed/Sauna 121x20' g o <br /> v m <br /> (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) Z y <br /> 0 vo cn <br /> m 1— m <br /> a <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). <br /> 2. Show the location of the well (W), septic tank (ST), and drainfield (DIF). <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. 0 �, <br /> 4. If separate plans are submitted by an architect,engineer,builder,contractor,etc.,the plans must be signed and <br /> dated by the owner. C <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED FOR ONSrIE VERIFICATION BEFORE A PERMIT CAN BE ISSUED. 11 a y <br /> c <br /> PLOT PLAN A o n <br /> y <br /> N O <br /> C 0 <br /> I <br /> SEE ATTACHED PLOT PLAN m n <br /> 3 <br /> I <br /> O < <br /> I O <br /> O <br /> O <br /> O <br /> W <br /> 0 <br /> C:) <br /> O m <br /> A <br /> �6 00 <br /> F+ <br /> 0 <br /> O H <br /> 0 <br /> N <br /> m ry <br /> o rt y <br /> f/1 O <br /> n � <br /> W <br /> r � <br /> W <br /> z <br /> I <br /> N '>1 <br /> S NmV f/l r- DD p L <br /> o c m m 0 a m <br /> m — ELr� _ = mm a0 D <br /> a a : = <br /> CONDITIONS OF PERMIT: c `c° 4 : 0 N o 0 ro <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT ISSUANCE. o F T,2 <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. m I C <br /> a � <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my knowl- m `� 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- Fur m H 0 <br /> tion contained in this application(including any accompanying schedule)and I further declare that I recognize that this infor- <br /> mation I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to issue a permit. I $ m $ <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 officials charged with administering county ordinances or other authorized person to have O N p <br /> access to the above described premises at any reasonable time for the purpose of inspection. . m $ 8 <br /> A <br /> m <br /> M N <br /> SIGN HERE See attached Fax copy <br /> (signature of owner or building contractop (date) <br /> I✓[ <br /> ZONING ADMINISTRATOR Jim Flanigan o g <br /> O: <br /> H : <br /> TOWNSHIP PERMITS MAY BE REQUIRED + o No o m <br /> 8888888um <br /> v, ) <br /> 0 <br /> 0 <br /> D <br /> x <br />