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9 $ <br /> Burnett County 7410 County Road K, No. 102, Siren, WI 54872 Office of Zoning Administrator v - <br /> APPLICATION FOR LAND USE PERMITS = a <br /> OWNER Glen Anderson TELEPHONE <br /> C <br /> MAILING ADDRESS 1930 Knox Ave S Minneapolis MN 55903 v <br /> 1 <br /> PROPERTY ADDRESS 27607 Thompson Bay Rd Webster WI <br /> o <br /> LEGAL DESCRIPTION _Lot 3 CSM 2/49 0 <br /> TYPE OF PERMITS): SINGLE-FAMILY DWELLING ADDITION DECK GARAGE/ACCESSORY STRUCTURE j = <br /> BUNKHOUSE ❑ 59.692(IV)GAZEBO STAIRS FILLING/GRADING CAMPING UNIT <br /> COMMERCIAL BUILDING COMMERCIAL ADDITION COMMERCIAL ACCESSORY STRUCTURE <br /> v <br /> STRUCTURE/ADDITION USE: Deck � RWr- QU 2✓` 0—K� �ti1r'✓.I- <br /> (Home/Cabin;Commercial Business; morn; Deck;etc.) <br /> BUILDING CONTRACTOR: Northland Builders Inc V" p <br /> �L <br /> A PLOT PLAN MUST BE PROVIDED ON AN 81 X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS O S <br /> WILL BE RETURNED. <br /> O ° - <br /> DIRECTIONS FOR PLOT PUN DRAWING: ARIAL OR TOP VIM) <br /> = 5 <br /> 1. ALL REQUIRED DIMENSIONS OR OISTANCES <br /> ALL EXISTING <br /> TO BE SHOWN S/DRAWN RE SCALE. m G <br /> L SHOW THE LOCATION AND 5¢E OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW e <br /> BUILDINGS/STRUCTURES(NB), INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, n " o <br /> AND INDICATE NORTH(N). V q <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S) 1 n w o <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETIAND AREAS,AND(D)LOT DIMENSIONS. SL <br /> 4. SHOW THE LOCATION OF THE WELL(W), SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES I <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 /> 1 z , <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN C).1 <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: II r 6 <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. fff(T x C) <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. Z <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 Q F <br /> --SETBACK AREA. <br /> 5. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. fS v <br /> NOT TO BE USED FOR HUMAN HABITATION. UY <br /> 6. Q <br /> ��kN(c,4v0/`6e� /t 9-/3-/3 O(G <br /> 7. <br /> % '13 � 3Z �5. A <br /> I declare belie that this ,correct <br /> Eon d(includingoleany accompanying Yiet schedule)has been examined by me n and to Me best of my knowledge 3 o <br /> and belief itis We,mcatio and compiled.an I acknowledge Mrt I am rand Ifoble Tor Me detail and accuracyrecognize <br /> of all information € y- > _p -] <br /> contained <br /> providin this application upon <br /> County a Burned schedule)and Iiurnnrg whet Mat Irecognize Mat Miainformation I E_D > S,$ <br /> m pity tha 9 will be relied upas a ou County r Burnett ng on this in detnminiI a whether to issues permit. In. IaAnother accept all - rF= <br /> liability county <br /> may ci a result of Me County is risme county relying di MIs in(or other I ho ized pi s in Mia appliccess t I agree ve <br /> permitcounty officials ny reatl nabadministratingurpose of inspects or other authorized personmhave access to Me above- <br /> described premiere at any reasonable time for Me puryow of inapecOon. a m P,w c > <br /> i v 3n ` D = ooc -7 <br /> OWNER'S SIGNATURE O •- C' ,L )a ,� 4 2, <br /> nvDa n(date) <br /> In. J, <br /> ZONING ADMINISTRATOR -�` M <br /> WNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISS C6EP 2 6 2013 <br /> BURNETTCOUN �� <br /> ZONING <br />