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c � o <br /> a <br /> Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning AdministratorZ <br /> 4 - ) <br /> APPLICATION FOR LAND USE PERMITS n' <br /> a <br /> OWNER Michael Sanderson TELEPHONE <br /> MAILING ADDRESS 1349 Wolf Circle Lino Lakes MN 55038 rn <br /> PROPERTY ADDRESS o <br /> r <br /> LEGAL DESCRIPTION NE I/4 NE I/4 21-38-15 ° 0 <br /> m n <br /> o S <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ❑ ADDITION ❑ DECK ❑ GARAGE/ACCESSORY STRUCTURE❑ <br /> BUNKHOUSE X 59.692(1V)GAZEBO ❑ STAIRS EIFILLING/GRADING❑ CAMPING UNIT LiS j <br /> COMMERCIAL BUILDING ❑ COMMERCIAL ADDITION ❑ COMMERCIAL ACCESSORY STRUCTURED51 C) <br /> N <br /> STRUCTURE/ADDITION USE: Independent Bunkhouse (�,� j <br /> (Home/cabin; OmmeraaBusiness; room; Deck; etc.) <br /> .� OOci <br /> O <br /> BUILDING CONTRACTOR: C � <br /> � c N <br /> m <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Yx X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS <br /> WILL BE RETURNED. <br /> � w <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) O o <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. r- = w o <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW z <br /> BUILDINGS/STRUCTURES(NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, O o <br /> AND INDICATE NORTH(N). g I <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDINGS)TO ALL LOT LINES,(B)BUILDING(5) 5. .^� 0 <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS. 1 <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES <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 4° <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 I ` <br /> r <br /> NEEDED. <br /> O ° <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: n 09 d <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. O z <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. (n <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. I <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. p <br /> NOT TO BE USED FOR HUMAN HABITATION, E <br /> 6. <br /> s � � 0000a �Oro <br /> n R7. <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my A c R. $ y <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all d c c ii a^ : a <br /> Information contained in this application(including any accompanying schedule)and I further declare that I recognize that this w ? tl0 a,vi -0 <br /> information I am providing will be relled upon by the County of Burnett Wisconsin in determining whether to issue a permit. I <br /> further accept all liability that may be a result of the County of Burnett relying on this information I am providing in this o— y <br /> application. I agree to permit county officials charged with administrating county ordinances or other authorized person to have cc Mn R LA�w � o o a <br /> access to the above-described premises at a y reasonable t' r the purpose of Inspection. <br /> OWNER'S SIGNATURE A > <br /> (date) ; o <br /> moa : gw : ° nr� <br /> ZONING ADMINISTRATOR <br /> O UNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE o N N o <br /> n o0 0 0 � <br />