Laserfiche WebLink
Jun 18 2009 5: 49PM WEBB PRLLL(EJ/TT SERVICE 952-492-3063 p. 3 <br /> Burnett County 7410 County Road K, No. 102, Siren, ORloa of Zoning Administrator °z <br /> APPLICATION FOR LAND USE PERMITS `' G <br /> OWNER /�f� <br /> TELEPHONE a17_- 741,f- <br /> MAILING <br /> 1Z,- '7Qg-MAILING ADDRESS �2� /l. /�✓�,��r- N '3/ I <br /> PROPERTYADDRESS "O-J--/ <br /> LEGAL DESCRIPTION .e L <br /> TYPE Or PERMIT(S): SINGLE-FAMILY DWELLING ADDITION O DECK O GARAGE/ACCESSORY STRUCTURE O Izzg <br /> BUNKHOUSE O 59.692(SV)GAZEBO O STAIRS O FILLING/GRADING O CAMPING UNIT O <br /> COMMERCIAL BUILDING O COMMERCIALADDMONE3 COMMERCIALACCESSORY STRUCTURE O <br /> STRUCTUREIADDIRON USE: rte• - <br /> . (Home/CaWn; Commercial Business;Bedroom;Deck;etc.) I(� <br /> BUILDING CONTRACTOR: <br /> g <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 15 X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS p g <br /> WILL BE RETURNED. - _ <br /> G <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARTAL 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 NEWqO <br /> BUILDINGSMRUCTURES(NB),INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, J $ <br /> AND INDICATE NORTH(N). _o� Z <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES,(B) BUILDING(S) ` O P <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)LAT DIMENSIONS. av O C) <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD (DF),AND ALL DISTANCES �0 b <br /> TO BUILDINGS, ROADS,LAKE,LOT LINES. ti l <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 k,'1'�1�) g <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. - 3 <br /> NOTE: Nff D WSTR(/CR)RE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN ` l� <br /> — -i <br /> THIS PERMITIS SUBJECT TO ALL CONDITIONSt]STED BELOW: - w <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. � <br /> Z. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. ,7�� o <br /> 3. NO GRADING OR SHOREL AND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. Rj <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 GARAGE(STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 67. <br /> . x�y! g <br /> I dedars that Nle application(indading ally mPenyYq aetredrN)has bean aeemhmd by m•and to tim bat of my - ,@53p ■dd <br /> krwwledgo and bdlof R is true,aorraG mPlete. I aaknowiedge that I am responsaM for the dates and aauracy of all P �a E � r <br /> NPonnatbn c+nhhrad In this appacatlo Ing arty aaompanying Khodula)and I further declare that I rompnRe Nat tide 6 m <br /> informatbn I am pravIdaq will be y Na County of Bumatt WYconstr In datxmining who8rr to imus a pomR I 93 <br /> Nrthef+tLWt lig IlebOaY that may of the County of Bu is mlying an this Ytommtion 1 am providing In this = <br /> PPI tion.. I agree to permR mm charged with adminMnting county ordinancas or othr authorized person to have a <br /> eoaa to.Ne birme4eaolbW P t yzeaaousbia Lim for the purpose of lnspatlon. <br /> OWNER'S SIGNATOR <br /> ^ (date) Q N 5$n R E <br /> ZONING ADMINISTRATOR /'LStrL /# . 7 1Q O` <br /> I' ,I R ;II.98 p"� <br /> �(1A�+'I'Y� <br /> TOW SHIP PERMITS MAY BE REQUIRED c <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE `GI <br /> per", � 4 mal&d --a &v4 firer fl-131-1 -C 9 <br />