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Burnett County 7410 County Road K,No. 102; Siren,Wi 54872 Office of Zoning Administrator _ U <br /> APPLICATION FOR LAND USE PERMITS is <br /> L <br /> OWNER Marry Barrett/Dan Gannon TELEPHONE 612-803-3797 = <br /> ry Q <br /> MAILING ADDRESS 1944 Goodrich Ave St Paul MN 55105 3 <br /> PROPERTY ADDRESS 25896 W Bass Lake Rd Webster WI 54893 <br /> r <br /> LEGAL DESCRIPTION See attached o <br /> TYPE or PERMIT(S): SINGLE-FAMILY DWELLING ADDITION DECK X GARAGE/ACCESSORY STRUCTURE C-r) <br /> e c�j <br /> BUNKHOUSE■ 59.692(IV)WEBO STAIRS FILLING/GRADING CAMPING UNIT <br /> COMMERCIAL BUILDING COMMERCIAL ADDITION COMMERCIAL ACCESSORY STRUCTURE <br /> ; <br /> r � <br /> STRUCTURE/ADDITION USE: GaraoelStoraoe <br /> (Home/Cabin;Commercial Business; Bedroom; Deck;etc.) ? <br /> BUILDING CONTRACTOR: Northland Builders Inc <br /> n <br /> z <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 r/z X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS F � <br /> WILL BE RETURNED. a <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) <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(EB)AND ALL NEW & V <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH(N). U� <br /> 3. 'SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B)BUILDINGS) <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK o <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 p yl <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 /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: c� <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 SHO E. <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICAL ��J�[ v <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE iy/11� <br /> SETBACK AREA. L! LU7 <br /> 5. ACCESSORY STRUCTUREIGARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GE ONLY. <br /> 6. ����G� o� HUMAN HABITATION.//1us'T � �bc/FN���� 1 1 214 <br /> T 1'40 i/^�i1 y D�er 1;Aw BUR = � � 0 C e=° t <br /> �,G '� �:sc�LG71�- NETT rfv_I®r-r.z ,: � R B � c <br /> LYAT 9��� 7nA' T L 'J' -J..' ?�.• <br /> I declare that this application(including any accompanying schedule)has been examined me and to Ene Wast knowledge 3 o jn.n,n• <br /> and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all information n C:=' " �, <br /> contained in this application(including any accompanying schedule)and I Wether declare that I recognize that this information I = > >W i <br /> am providing will be relied upon by the County of Burnett Wisconsin in determining whether to Issue a Permit I further accept all <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 'th administrating county ordinances or other authorized person to have access to the above- � <br /> described premises at any reaso able tim for the purpose of inspection. m a a vz ',^, f <br /> OWNER'S SIGNATURE N NH2 <br /> > wn(date) c _ Z <br /> ZONING ADMINISTRATOR ,6�i /� ����� _ N° a M. <br /> TOWNSHIP PERMITS MAY BE REQUIRED a <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE Nlf <br /> Go fI7;f(I- W1 AAW Agr �/-<)60_O�'Z7, OZ,00 SEMI V17 F42 DELL s1-sift9 <br /> S-reuc7uf2E PeofpS,E ((,AIz)A1Gg� fowr &5 lolw !o` <br /> il-5�D14P,5X Xe C7Ae&7T7Z91J /1lfT 671, 9 15•i5 Cr �csfn:� ti r <br /> f_Y-�ry c, qv,c„y h4 6 e_ vs est �f 1 vv,��`� `n C <br />