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Burnett County 7410 County Road K,No. 102, Siren,WI 54872 Office of Zoning Administrator <br /> ,C. <br /> APPLICATION FOR LAND USE PERMITS =: <br /> 4 <br /> OWNER Mark arM Diane Dela Forest TELEPHONE 25-656-3252 <br /> MAILING ADDRESS 1151 Sihenvood Rd Woodbury MN 55125 v y <br /> PROPERTY ADDRESS 6138 Mirerva Iantling Rd <br /> LEGAL DESCRIPTION Mahlen Acres lots 2-3 Ic <br /> TYPE OF FERMI I(S): SINGLE-FAMILY DWELLING ADDITION DECK X GARAGE/ACCESSORY STRUCTURE <br /> BUNKHOUSE- 59.692(1V)GAZEBO STAIRS FILLING/GRADING CAMPING UNIT b <br /> COMMERCIAL BUILDING COMMERCIAL ADDITION COMMERCIAL ACCESSORY STRUCTURE U) <br /> STRUCTURE/ADDITION USE: <br /> (Home/Cabin;Commertlal D eaness;Bedroom;Deck;etc.) /t 1 <br /> BUILDING CONTRACTOR: ND ihlaM BP,10m Lb, �J <br /> A PLOT PIAN MUST BE PROVIDED ON AN 8'h X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PIANS C <br /> WILL BE RETURNED. _ <br /> r C <br /> DIRECTIONS FOR PLOT PUN DRAWING: (ARIAL OR TOP VIEW) T <br /> L ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. _ <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, — 9 <br /> AND INDICATE NORTH(N). rryy <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S) <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK ` ° Q, <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS. G C Q <br /> A. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DFS,AND ALL DISTANCES <br /> TO BUILDINGS,ROADS, LAKE, LOT LINES. - L <br /> 5, INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW ARM TO BE GRADED OR FILED. <br /> 6, IF SEPARATE PIANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER, BUILDER,CONTRACTOR,ETC.,THE <br /> PUNS MUST BE SIGNED AND DATED BY THE OWNER. V/two o (YSI <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. <br /> l <br /> THIS PERMIT IS SUBIECT TO ALL CONDITIONS LISTED BELOW: U1 <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. 4 TIL S� <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. <br /> 3. NO GRADING ES SHOREUNG RETAININGNSARE ALLOWEDUNLESSWITHISPECIN <br /> HE LY RErsaEpl <br /> �tt nD9. NO STRUCTURES,INCLUDING RETAINING WAL35,ETC.,ALLOWED WITHIN THE RELSU(Lj _SETBACK AREA. It�S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GANLYY.NOT TO BE USED FOR HUMAN HABITATION. 1 201, <br /> 6. <br /> 7. > <br /> � pp > nnnno — <br /> BURN�E^TT __ <br /> " " K373Ko <br /> Idedare that thin applkatton(Inrtuding any accompanyingechMule)bapeeea <br /> s n amined by me and to the bvZQNJN@r409e <br /> and belief i[is pue,mrreR and mmPlete. I acknowledge that I am revponsible for[M1e depll and amrac, f all mammas((ion <br /> coni N in this application(inGuding any accompanying 2M1edule)and INrther declare that I recognize that Nis information l _.> ox,c'e, ' <br /> am providing will be notiM upon by Ne County of Burnett Wimconsin in determining whether W issue a permit I further acatint all ti <br /> botany Nat may b,a result of the County of Burned relying on this information I am providing In this application. I agree to @ � N <br /> Permit munty officials chaged with administrating munty ordinanms or other autMnized person to have income to the apor, <br /> descnibM premises at any reaveriable time for the purPna mins/esti a = aNu wl' <br /> 3c i"v 3 A ;=goo <br /> OWNER'S SIGNATURE%` ✓�'� i ., C <br /> (dame) y/ <br /> ZONING ADMINISTRATOR ��/ / I <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br />