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Sumett County 7410 County Road w No. 102, SimµWI 54872 Office of Zoning Administr dDr z <br /> APPLICATION FOR LAND USE PERMITS g ' <br /> a <br /> � N <br /> � C <br /> 7 fl <br /> OWNER Tom Martin TELEPHONE 703-864-3328 <br /> � S <br /> MAILING ADDRESS 8868 Eagle Rock Lane Springfield,VA 22153tri <br /> w a <br /> 6 � <br /> PROPERTY ADDRESS Washington St 8 <br /> O <br /> LEGAL DESCRIPTION Lot 2,Block 2,Jeffries Estates and Lot 0, Block 2,Jeffries Estates <br /> SINGLE FAMILY DWELLING ❑ GARAGE/ACCESSORY STRUCTURE X ADDITION ❑ STAIRS❑ <br /> TYPE OF PERMIT(S): m A <br /> FILLING/GRADING ❑ CAMPING UNIT❑ BUNKHOUSE ❑ 59.692(IV)GAZEBO ❑ DECK❑ q <br /> STRUCTURE/ADDITION USE: BUNKHOUSE S c <br /> (Home/Cabin;Commercial Business; Bedroom; Deck; etc.) o <br /> BUILDING CONTRACTOR: BLACK BEA N—BRE r PARDUN 715-733-0197 _w <br /> N <br /> Oo <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8%X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOI PLANS „y y <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VI ) O <br /> 0 <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOW OR DRAWN TO SCALE. <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDI GS/STRUCTURES(EB)AND ALL NEW M <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS, PORC ES AND OTHER STRUCTURES, Q .. <br /> AND INDICATE NORTH(N). w <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BU LDING(S)TO ALL LOT LINES,(B)BUILDING(S) <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENT( )TO THE ORDINARY HIGH WATER MARK <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AR ,AND(D)LOT DIMENSIONS. B <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(S AND DRAINFIELD(DF),AND ALL DISTANCES q <br /> TO BUILDINGS, ROADS, LAKE,LOT LINES. 2 <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. �o c <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT, NGINEER,BUILDER,CONTRACTOR, ETC.,THE s <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. . sd c <br /> ° <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN "� N <br /> u <br /> NEEDED. O� <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELO $ a S <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMEN1 S WITHIN 60 DAYS OF PERMIT. z <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RE STRICTED ALONG SHORELINE. 7y <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWE D UNLESS SPECIFICALLY PERMITTED. n <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS,ETC.,A LOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. ° <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR P UVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. Q <br /> 6.7. <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my knc Nledge , <br /> and bdief R Is true,correct and complete. I acknowledge that I am n sponsible for the detail and accuracy of all Informat n <br /> contained In this application(Including any accompanying schedule)a ind I furths declare that I recognize that this Infom ation I <br /> am providing will be rolled upon by the County of Burnett W Iscondn Ivi determining whether to Issue a permit. IfurthorS ceptall <br /> liability that may be a result of the County of Burnett relying on this h iformatlon I am providing in this application. I agre to permit o <br /> county officials charged with adminkxrating county ordinances or oth or authorized person In have access to thea Ibed 8 A <br /> premises at any reasonable time for the purpose of inspection. m Y <br /> OWNER'S SIGNATUR Q <br /> (dam) b � 6W t� <br /> ZONING ADMINISTRATOR F a a�' .. <br /> ar <br /> o <br /> TOWNSHIP PERMITS PLAY BE REQUIRED H <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE U 8 U w o <br />