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Burnett County 7410 County Road K,No. 102, Siren,WI 54872 Office of Zoning Administrator & <br /> APPLICATION FOR LAND USE PERMITS W <br /> y / 11 <br /> n <br /> a 0n <br /> OWNER Yvonne Culligan TELEPHONE Y <br /> � o <br /> MAILING ADDRESS 12930 300"'Ave Princeton MN 55371 <br /> ^ <br /> rr11r <br /> PROPERTY ADDRESS 6830 Minerva Landing Rd X� <br /> � � O <br /> LEGAL DESCRIPTION Lot 1 and 2 cern v 5 p 102 looted in Gov Lots 5&6 Section 35 town 41N Range 16W <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING 0 ADDITION 0 DECK 0 GARAGE/AOCESSORY STRUCTURE KK U <br /> BUNKHOUSE 0 59.692(1V)GAZEBO 0 STAIRS 0 FILLING/GRADING 0 CAMPING UNIT 0 1 <br /> COMMERCIAL BUILDING 0 COMMERCIAL ADDITION 0 COMMERCIAL ACCESSORY STRUCTURE❑ <br /> STRUCTURE/ADDIRON USE: aaraoe c -- <br /> (Home/Cabin;Commerdal Business; Bedroom; Deck,etc.) <br /> 99 <br /> BUILDING CONTRACTOR: Northland Bui Inc3' <br /> O � <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 1/2 X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS C o_ <br /> WILL BE RETURNED. y <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. Q m <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, <br /> AND INDICATE NORTH(N). C � z <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S) �P <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK �' O <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS. <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAiNFIELD(DF),AND ALL DISTANCES 5 <br /> TO BUILDINGS, ROADS, LAKE,LOT LINES. �, \ <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 <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN y '� <br /> NEEDED. C <br /> THIS PERMIT IS SUIUECF TO ALL CONDITIONS LISTED BELOW: J" U) • t' <br /> 1. DRIVE)rAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. z (n v., <br /> 2. REMO AL OR CUTTING OF TREAND VEGETATION IS RESTRICTED ALONG SHORELINE. <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER O <br /> SETBACK AREA. <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6.7, > � � 0oo � a£ troiy <br /> s �s <br /> I declare thatthis applicationmmug sdued <br /> on(including arty aoparryiule)has baso enmiuued M me and co the bestof my knowledgeB o ,� �.B. :. �.sjq „i <br /> and belief It is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all kdontition l;. co F_A. E. <br /> contained in this application(including any accompanying schedule)and I further declare Brat I recognize that this information I $ ty6 o cW N Y <br /> am providing will be relied upon by the County of Burnett Wiiscormn in determining whether to issue a permit I further accept all .� ao y <br /> liability that may be a result of the County of Burrett relying on this Information I am providing in this application. I agree to o v,N>-' <br /> permit county oflkials charged with administrating county a lirontas or other authorized person to have amass to the above- 8 <br /> n. 8 <br /> ^ Jo g g .rr <br /> described premises at any reasonable time for the purpose of inspection. S R S s•,c�w A <br /> yg$oggy <br /> OWNER'S SIGNATURE / ✓ / ����GU j M w n M O <br /> (date) o n o <br /> ZONING ADMINISTRA �J'{n Fl(/L' I /�e r) '`.j <br /> a n � : 6 <br /> TOWNSHIP PERMITS MAY BE REQUIRED E <br /> THIS PERMIT SH LL EXPIRE ONE YEAR FROM DATE O I NCE p =N <br /> eiryiif� �e � '�i �du� b(� d� ?an�fauI1& i/s UUso00$ <br /> I'l-as-o6 <br />