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Sep 25 12 02: 18p P• 1 <br /> e n O <br /> Burnett County 7410 County Road V,No. 102, Sheri,NII 54872 OffK:e of Zordng Adminlstrator g <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNER TELEPHONE x C <br /> MAILING ADDRESS 3 <br /> ��J 4 <br /> PROPERTY ADDRESS <br /> LEGAL DESCRIPTION <br /> TYPE OF PERMtt(S): SINGLE-FAMILY DWELLING ADDITION DECK GARAGE/ACCESSORY STRUCTURE <br /> BUNKHOUSE 59.692(IV)GAZEaO STAIRS FILLING/GRADING CAMPING UNIT <br /> COMMERCIAL BUILDING COMMERCIAL ADDITION COMMERCIAL ACCESSORY STRUCTURE <br /> STRUCTURFIADDITION USE: c <br /> (Home/Cabin;COmmerrdal Business; Bedroom; Deck;ebc.) <br /> BUILDING CONTRACTOR: n <br /> x <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8%X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PIANS <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PIAN DRAWING: (ARIAL OR TOP VIEW) p <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(0)AND ALL NEW <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, '9 <br /> AND INDICATE NORTH(N). N c <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(S) <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. <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES g <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 g <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. 3 <br /> NOTE: BLBLDING/STRUCFUtE LOCATIONS MUST BE STAKED 50 AN ONSITE VERIFICATION MY BE DONE WHEN ,..t <br /> NEEDED. <br /> THIS PERMIT IS SUBIECT TO ALL CONDITIONS LISTED BELOW: C <br /> 0 <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. r3 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. <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGEJSTORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. <br /> I n0> � <br /> I declare that Oft sppllotlon(Indudinq my so=opwrAW sdodule)has been owMad by me and to Via beet of my q ? a �a <br /> 1agaMdpe Mid bald It Is true,Correct end complete. I adalVaI -n t of I emm nomm blo tbrOw demli and accuracy atoll �• w is e is.R2 <br /> INonnstlan contod. in this ctel <br /> appaon CWP*AkV erry aaganpsrg4q Nre <br /> sCardule)ane I ierdedNe&atI rempntee UM this r3 <br /> odemnow I am prorNYg will be rolled upon by the CvwW oraurnelt WNaonsM M debambrag~w to lairc a pemaL I <br /> funber akape aP RubM y that moybe a r it otthe Owmty arBumae rdybrp on Nes adb. don t om provldbg M this <br /> Opp rmlltn. I apeeto permitcounty oaklels clmar- Mth edmtnbtrarI misty adblarrm crat w wlhonlad Person to have <br /> aura to ft abwsd solbed Pro ftes at any memnatk time far the purpose of Irepaktkn. m , (g O Y <br /> 'AB a <br /> 6 <br /> C �_ <br /> OWNER'S SIGNATURE !� �..� (date) �y>c if <br /> w a O <br /> ZONING ADMINISTRATOR B pMd <br /> a a S a <br /> TOWNSHIP PERMITS MAY BE REQUIRED . <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br /> UUC000$ <br />