Laserfiche WebLink
May 22 12 06: 49a Dziuk Family 651-351 -0951 P. 1 <br /> -715 - a5°I - 33 O'3 c n Z <br /> Burnett County 7410 County Road K,No. 102, Siren,WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS N: <br /> OWNER David and Debra Dziuk Phone 612-751-4311 o <br /> 0 O <br /> MAILING ADDRESS 13470 49`"St N Stillwater MN 55082 <br /> PROPERTY ADDRESS 3393 County Rd A 3clg3 CCU n1by (7d 04- <br /> - 1 <br /> 1� 4 O <br /> 0 <br /> LEGAL DESCRIPTION Lot 1 CSM 171167#328935 in Gov Lot 1 r <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING 0 ADDITION O DECK O GARAGE/ACCESSORY STRUCTURE 0 <br /> BUNKHOUSE O 59.69Z(1V)GAZEBO O STAIRS O FILLING/GRADING O CAMPING UNIT O <br /> COMMERCIAL BUILDING O COMMERCIAL ADDITION❑ COMMERCIAL ACCESSORY STRUCTURED <br /> a 3 <br /> STRUCTURE/ADDITION USE: Storaoe _ <br /> (Home/Cabin;Commercial Btmness;Bedroom; Deck; etc.) c <br /> BUILDING CONTRACTOR: Northland Builders Inc Sll <br /> n <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Va X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS p 3 <br /> WILL BE RETURNED. X7 < <br /> O ° <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) Nc <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. n �' <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW C O <br /> BUILDINGS/STRUCTURES(NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, o <br /> AND INDICATE NORTH(N). O c' <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDINGS)TO ALL LOT LINES,(B)BUILDING(S) '�ISO <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK p + o <br /> F LAKE,STREAM <br /> OF THE <br /> yRIV LR AND WETLAND AREAS,AND(D) LOT DIMENSIONS. <br /> 4. SHOW THE <br /> (W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES <br /> TO BUILDINGS, ROADS, LAKE, LOT LINES. c; w (v I <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. / <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER,BUILDER,CONTRACTOR,ETC.,THE tS� <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. ` ` <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED 50 AN ONSITE VERIFICATION MY BE DONE WHEN }Nc 3 <br /> NEEDED. gg1 6 <br /> 6T y y O <br /> THIS PERMIT IS SU63ECT TO ALL CONDITIONS LISTED BELOW: I r <br /> TIC J� <br /> I. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. � x <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. L ^ <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. m z <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER a �° <br /> SETBACK AREA. <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. Q <br /> 6. O <br /> 7. z ao0on? C <br /> I declare that this application(Including any accompanying schedule)has been examined by me and to this beg of my knowledge 3 o j E` ova <br /> and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all information $ m d o <br /> contained in this application(including any accompanying schedule)and I further dec are that I recognize that this information 1 <br /> am providing will be relied upon by the County of W matt Wisconsin in determining whether to Issue a permit. 1 further accept all K c ii P <br /> liability that may be a result of the County of Burnett relying on this information 1 am providing in this application. I agree to <br /> permit county officials charged with administrating county ordinances oor other authorized person bo have amen to the above- <br /> described Premises at any reasonable time for the purpose of ins <br /> _ 3 n y o o g <br /> OWNER'S SIGNATURE �� 5- 11-.Zon <br /> n v, a ❑ mnQgr <br /> (data) i' u ° ` _ <br /> ZONING ADMINISTRATOR <br /> qo, <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE N ^N»» <br /> � UBo��S <br />