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o <br /> Burnett County 7410 County Road K,No. 102, Siren,WI 54872 Office of Zoning Administrator a �, <br /> APPLICATION FOR LAND USE PERMITS = <br /> OWNER Ortison Family Partnership TELEPHONE 612-850-6853 d C <br /> 0 <br /> MAILING ADDRESS 101 Main St NE 11 Minneapolis MN 55413 <br /> N <br /> PROPERTY ADDRESS 3697 County Rd A o \ <br /> LEGAL DESCRIPTION Lot 4 CSM 9/94 ex v16 p 33 and describe in doe#404960 o <br /> TYPE OF PERMIT(5): SINGLE-FAMILY DWELLING ADDITION DECK GARAGE/ACCESSORY STRUCTURE _ <br /> BUNKHOUSE• 59.692(1V)GAZEBO STAIRS FILLING/GRADING CAMPING UNIT <br /> COMMERCIAL BUILDING COMMERCIAL ADDITION COMMERCIAL ACCESSORY STRUCTURE <br /> STRUCTURE/ADDITION USE:_Home/cabin addition <br /> (Home/Cabin; Commercial Business; Bedroom; Deck;etc.) <br /> T <br /> BUILDING CONTRACTOR: Northland Builders Inc y <br /> n AA <br /> r 3 h <br /> A PLOT PLAN MUST BE PROVIDED ON AN B'/z XII SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS O <br /> WILL BE RETURNED. _ Z <br /> M <br /> E <br /> DIRECTIONS FORPLOTPLAN ENSION OR DI (A CES O E SHOWN ) n <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE re o <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW e <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, m 3 <br /> AND INDICATE NORTH(N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S) .p r <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. w O <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES O J <br /> TO BUILDINGS,ROADS,LAKE,LOT LINES. O <br /> 5. INDICATE IF A WALKOUT BASEMENT 15 PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. <br /> 6. IF SEPARATE PUNS ARE SUBMITTED BY AN ARCHITECT,ENGINEER, BUILDER,CONTRACTOR, ETC.,THE m N <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. N o <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. <br /> a N <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> r <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. <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. <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER a <br /> SETBACK AREA. p <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION:— - C <br /> 6. o <br /> ] �p annn � ii � K <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my knowledge 3 <br /> and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all information <br /> contained in this application(including any accompanying schedule)and Ifurther declarethat I recognize that this information 1 F.D DmN 9 <br /> amproviding will blied upon by the County of Burnett Wisconsin in determining whether to issue a permit. I further accept all a^ �w <br /> ,re — S <br /> liability that may be a result of the County of Burnett relying on this information I am providing in this application. I agree to <br /> permit county officials charged with administrating county ordinances or other authorized person to have access W the above- <br /> described premises at any reasonable time for thepu f inspection. 6 m n g H o FJ8 Y <br /> 3 +1m a88 <br /> OWNER'S SIGNATURE 1 o > 3 R 7 <br /> O <br /> ZONING ADMINISTRATOR F a <br /> APR 28 2014 _ <br /> WNSHIP PERMITS MAY BE REQUIRED v� n <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSWftETT COUNT N N 8 0 0 o S <br /> �tlf'1IVZONING <br />