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a <br /> Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator t�— <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNER Chad Roman and Travis Rosenbaum TELEPHONE tr <br /> 612 965 7539 TlT^f <br /> MAILING ADDRESS 19805 Ode Sturbridge Rd. Corcoran,MN 55390 r O <br /> F <br /> PROPERTY ADDRESS 26509 Lily Lake Inn Rd,Webster,Wi <br /> :571 n <br /> LEGAL DESCRIPTION WI/3 SW SE(W/ESMT 563/137)Sub/ESMT#398928 9aac . 1DIo` IG9��prC� .�y� Ct(I� r <br /> n <br /> TYPE OF PERMIT(S): SINGLE-FAMILY DWELLING ADDMON DECKGARAGE/ACCES;ORYSTRUCTURE .` /v <br /> BUNKHOUSE 59.692(1V)GAZEBO STAIRS FILLING/GRADING CAMPING UNIT <br /> 'l <br /> COMMERCIAL BUILDING COMMERCIAL ADDITION COMMERCIAL ACCESSORY STRUCTURE to <br /> r <br /> STRUCTURE/ADDITION USE: Cabin Garage Accessory BtAdirm — 3 Z <br /> (Home/Cabin;Commercial Business;Bedroom; Deck;etc.) <br /> BUILDING CONTRACTOR: T o ki Custom Desinn&BuildIf - O <br /> build <br /> EA- PjO Iy � UI J h PS <br /> A PLOT PLAN MU BE PROVIDED ON AN 8 V2 X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE OT PLANS vCi o <br /> WILL BE RETURNE . <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) _� z <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. Z <br /> 2. SHOW THE LOCATION AND SIZE OF ALL E(ISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW O <br /> BUILDINGS/STRUCTURES(NB), INCLUDING DECKS, PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH(N). o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDING(5) <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMEW(5)TO THE ORDINARY HIGH WATER MARK O r <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS. - <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPRC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES <br /> TO BUILDINGS, ROADS,LAKE,LOT LINES. l <br /> 5. INDICATE IF A WALKOUT BASEMENT 15 PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. o <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER,BUILDER,CONTRACTOR, EFC.,THE D t <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. l N <br /> y <br /> NOTE: BUILDING/STRURURE LOCATIONS MUST BE STAKED 50 AN ONSITE VERIFICATION MY BE DONE WHEN (� <br /> NEEDED. jll—_pw <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: v <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. Z Q <br /> 2. .^.EMOVAL OR OIR'.NG OF TREES AND VECET.ATION IS RESTRICTED ALONG SHOP.EUNE <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. IIKv <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS, ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. <br /> 5. ACCESSORY SPRUCIURE/GARNGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. <br /> _ F > nnndc ^ t <br /> 7. 'n n333Es to <br /> r '1. ✓ > 33 So � F <br /> I declare that this application(including any accompanying schaduz)has been examined by me and to the best of my 3 P J n. ^.e :' <br /> knowledge and belief it is true,Correa and complete. I acknowledge that l am responsible for the detail and accuracy of all F �c : <br /> information contained in this application(including any accompanying schedule)and l further declare that l recognize that a� oE- y <br /> this information I am providing will be relied upon by Me County of Burnett Wisconsin in determining whether to issue m<<N_ <br /> permit. Ifuaher accept all liability that may be a result ofthe County of Burnett relying on this information I am providing in <br /> this application. I agree to Fermi untyofficials charged with administrating county ordinances or-other authorized person a =_ �wog � <br /> to have access to the above-d d e ses at any reasonable time for d e purpose of inspection. D/i v' o ] <br /> OWNER'S SIGNATURE <br /> d-15 U € <br /> (date) <br /> ZONING ADMINISTRATOR �UN 2014 `F' o n T <br /> TOWNSHIP PERMITS MAY BE REQUIREDBURNETT COU <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE ZONING _ <br /> u �ga �o8 <br />