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Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNER Seth Montgomery TELEPHONE 612 229 7828 d <br /> ie <br /> MAILING ADDRESS 2655 Cottage Grove Place,Woodbury MN 55129 <br /> PROPERTY ADDRESS 29898 Cranberry Lake Drive,Danbury WI o <br /> LEGAL DESCRIPTION Parcel ID 07-032-2-41-16-35-2 02-000-014000 �V <br /> TYPE OF PERMIT(5): SINGLE-FAMILY DWELLING ADDITION DECK GARAGE/ACCESSORY STRUCTURE ? �- <br /> v <br /> BUNKHOUSE• 59.692(IV)GAZEBO STAIRS FILLING/GRADING CAMPING UNIT ay <br /> COMMERCIAL BUILDING COMMERCIAL ADDITION COMMERCIAL ACCESSORY STRUCTURE a <br /> i^ z <br /> STRUCTURE/ADDITION USE:_Pole shed to store recreational equipment(e.g.,boats,pontoons,etc.) P <br /> (Home/Cabin;Commercial Business; Bedroom; Deck;etc.) <br /> BUILDING CONTRACTOR: Hopkins(excavating) Your Way Builders(Dole shed and concrete <br /> O < <br /> z < <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8'/z X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLANS c <br /> WILL BE RETURNED. T. <br /> n � <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) m� <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 qq o <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS,PORCHES AND OTHER STRUCTURES,AND INDICATE NORTH(N). <br /> �l <br /> 3. SHOW DIMENSIONS N 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 °O <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS. I C <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES � <br /> TO BUILDINGS, ROADS,LAKE,LOT LINES. <br /> 5. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. I c <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER,BUILDER,CONTRACTOR,ETC.,THE y <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. I) 1 <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN <br /> NEEDED. RJ / <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: r1yfn,\ <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. n z " ^ <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. n <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 d <br /> SETBACK AREA. 1 <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. C� <br /> NOT TO BE USED FOR HUMAN HABITATION. Q <br /> 6. <br /> 7. > nn L)> �{ � <br /> HP <br /> I declare that this application(including any accompanying schedule)has been examined by me and to the best of my p a o 5 ? w <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all a w''m'm it <br /> Information contained in this application(including any accompanying schedule)and I further declare that I recognize that this `° E. 9 d'O <br /> information I am providing will be relied upon by the County of Burnett Wisconsin in determining whether to Issue a permit. I 7 <br /> further accept all liability that may be a result of the County of Burnett relying on this information I am providing in this <br /> application. I agree to permit county oflclals charged with administrating county ordinances or other authorized person to <br /> have accass to the above-described premises'ata ye fo <br /> mr the purpose of inspection. i 9 N w N w A <br /> OWNER'S SIGNATURE // r <br /> '`.b''<' <br /> ZONING ADMINISTRATOR T/y� y�I <br /> e (date) r, rA o'Z m m= Z <br /> —v.(_> G'�I (.L <br /> TOWNSHIP PERMITS MAY BE REQUIRED '- <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE g <br /> n vii COCOO <br />