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FROM : AMY and CHRIS BANGS PHONE NO. : 612 735 7514 Aug. 20 2008 12:35PM P1 <br /> Burnett County 7410 County Road K,No. 102, Siren,WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS <br /> _ J <br /> OWNER Chrisblpher and Amy Smith Bangs TELEPHONE j S <br /> O <br /> MAILING ADDRESS 8846 Pheasant Run Rd Woodbury MN 55125 ... <br /> PROPERTY ADDRESS 28179 Johnson Lake Rd o �. <br /> LEGAL DESCRIPTION PCI Gov Lot 6(0209323.08200)(lot 31 and a pd) <br /> 7ypL or pERMir(5): SINGLE-FAMILY DWELI]NG❑ ADOTTION X DECK❑ GARAGFJACCESSORY STRUCTURE 0 <br /> BUNKHOUSE 0 59.692(1V)GAZE80 0 STAIRS 0 FILLING/GRADING 0 CAMPING UNIT 0 I + <br /> COMMERCIAL BUILDING 0 COMMERCIAL ADDITION 0 COMMERCIAL ACCESSORY STRUCTURE 0 =.3 <br /> 1 <br /> STRUCTURFJADDIITON USE'_ Horne clition --- P P <br /> (Home/Cabin;Commercial Business;Bedroom; Deck;etc.) G <br /> -r nJ <br /> BUILDING CONTRACTOR: NqrtNand Builders Inc �J <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 sh X11 SHEET OF PAPER. ANY INCOMPLETE OR ILIPLODrPLANSo <br /> WILL BE RETURNED.DIRECTIONS FOR PLOT PLAN DRAWING (ARIAL OR TOP VIEW)I. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEBUILDINGS/STRUCTURES(NR),INCLUDING DECKS,PORCHES AND OTHER STRUCTURES,AND INDICATE NORTH(N). <br /> 3. SHOW DIMENSIONS IN FEET OFTHE FOLLOWING: (A)BUILDING($)TO ALL LOT LINES,(B)BTO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER(OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS.4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL l`r <br /> TO BUILDINGS,ROADS,LAKE,LOT LINES. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO TIE GRADED OR FILLE <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER,BUILDER,CONTRACTOR,ETC.,THE o W <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 <br /> NEEDED. <br /> THIS PERMIT IS SUR)ECT TO ALL CONDITIONS LISTED BELOW: <br /> ,rr � <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 6D DAYS OF PERMIT. 0 O <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. 6 z G <br /> 3. NO GRAVING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. T <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGEIMRAGE ONLY. <br /> NOT T9BE USED FOR HUN HABITATION. <br /> 6. S('1DY(' (h✓r E; bk4-{- to be , uniplehed o 01c fii.zEd by /_c+.✓tsL-i-dJ ct-k: iir:s. lap g <br /> bL) .Stp/P.7, b-ei Is,;zoc;j - '^ 73aooeOa� °° <br /> 7. <br /> F � Q�Q <br /> I declam that this application(including any accompanying ochedule)las been examined by me and to the best of my knowledge a O J a 6e' �i�ill <br /> and belier it is true,correct and complete. I ae nmyAMge that I am responsible for this debil and accuracy of all information W P.i==e. "3 <br /> oonbined in this application(Including any accompanying schedule)and I hinter declare that I recognize tint this information Im A <br /> am providing will be valued upon by the County of B umatt Wisconsin in determining whether to issue a PennIL I further accept all plc' g ro <br /> nabinty that may be a result of tae county of cornett relying sur tins imbmrabon I am proidding in this application. I agme to <br /> permit county officials urged with administrating county ordinances or other authorized person 10 neve access to the above` wn <br /> darrribed premises K any reasonable tl toe purpose of inapeetbn. <br /> to <br /> .H g >$c c S 8 y <br /> a <br /> A <br /> A 6' NT. O <br /> OWNER'S SIGNATURE ( ) a wn <br /> -: d <br /> $a ca 2 <br /> ZONING ADMINISTRATOR_ <br /> TOWNSHIP PERMITS MAY BE REQUIRED a <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE O N o 0 0 o <br /> ��arlccl h') ti)Dr41jzr,dP�L eb S (i <br />