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Burnett County 7410 County Road K, No. 102, Siren,WI 54872 Office of Zoning Administrator - G <br /> APPLICATION FOR LAND USE PERMITS = — <br /> OWNER Robert and Becky Olson 952-881-2087/651-558-1207 TELEPHONE <br /> 0 <br /> PROPERTY ADDRESS :30748 Me"n's Lane, Danbury,Wisconsin 54830 <br /> LEGAL DESCRIPTION LOT 2CSM#1736 V9 P199(GOV LOT t) #231090 I' <br /> _AILING ADDRESS :9921 Humboldt Avenue South,Bloomington, Minnesota, 55431 Z. <br /> o <br /> TYPE OF PERMIT(S): <br /> Cl Single Family Dwelling V Garage/Accessory Structure ❑ Stairs ❑ Commercial Building <br /> ❑ Addition ❑ Bunkhouse Cl Filling/Grading ❑Commercial Addition .� O <br /> ❑ Deck CI59.692(ly)Gazebo ElCamping Unit ❑ Commercial Acc Structure <br /> STRUCTURE/ADDITION USE:Storage <br /> mrage - I' <br /> (Hoe/Cabin;Commercial Business;Bedroom; Deck;Etc) <br /> `z <br /> BUILDING CONTRACTOR FC Builders PO-BlIx—585, en irWisconsin 54872 <br /> 71 <br /> PLOT'PLAR - INCOMPLETE OR ILLEGIBLE PLOT PLANS WILL BE RETURNED. - r z <br /> ***REQUIRED PLOT PLAN INFORMATION*** <br /> v/ 81/z"X 11"SHEET OF PAPER DISTANCE(IN FEET)TO' w <br /> J DRAWN TO SCALE OR DISTANCES LABELED J WELL <br /> V PROPOSED BUILDING/STRUCTURE LOCATION v/ SEPTIC TANK&DRAINFIELD <br /> 4Dimensions&Heights ❑ ROAD RIGHT-OF-WAY IF SURVEYED Ij <br /> v/ EXISTING BUILDINGS/STRUCTURES(Includes deck, porch,etc.) -)CENTERLINE IF NOT SURVEYED - <br /> -)Dimensions&Heights v/ ALL PROPERTY LINES — <br /> J NORTH ARROW v/ ORDINARY HIGH WATER MARK - <br /> _ ALL WETLAND AREAS <br /> -NOTE: Building/structure location mus[be staked For onsite verifratlon when needed. <br /> Yi <br /> THIS PERMIT IS SUBJECT ALL CONDITIONS LISTED BELOW: <br /> of _ <br /> • Removal or cutting of trees and vegetation is along shoreline T <br /> • No structures(including retaining walls,Etaare allow)are allowed unless specifically Permitted <br /> • No filing,grading,or shore land alterations are allowed unless specifically permitted G <br /> • Driveway must meet width requirements within 60 days of perms <br /> frr <br /> • Accessory structure/garage permits allow for private residential storage only n <br /> "Not to be usetl for human habitation or rental storage" <br /> 1 declare that this application(including a schedule has been examined b m and to the best of m knowledge and <br /> pP ( 9 ck accompanying that ) Y e Y g n <br /> belie)i[is hue,correct and complete. I acknowledge that I am responsiple roc[M1e detail and accuracy of all information mntainetl in <br /> this application he County any accompanying Wisconsin <br /> ng schedule)and I further r to issue <br /> e a 1 recognize Mat this tall information provided will a 1 <br /> relied upon by the County Monaco,6urnett Wisconsin in dation i am w villin to issue a permit t Iurther o perm all un iy o that may ng a <br /> suit min County ofunty relyingnonce on this information I am providing in this a-ppliss or the a I agree to permit manta officials <br /> re charged £ <br /> with forthe purpose <br /> county ordinances or ober au[horix0 persons to have access to Me above-0es¢ibed premises at any reasonable <br /> time for Me purpose of inspection. <br /> --ADDITIONAL CONDITIONS-- ,lxP ('�TI I/ ern G 3 3 3 X62 <br /> ��( % I'c$Iv�< hbr.- �zc ,„�I F�cl, 4SdcS�n�xa� r:� Ki.n'4tl-oC C5> c.o'w <br /> « a:-i <br /> 8z <br /> � R „oWN_ 3 <br /> d” X5 =1 <br /> OWNER'S SIGNATURES'.J <br /> (d U/tJ <br /> (dam) <br /> ZONING OFFICIAL <br /> "TOWN/UDC PERMITS MAYBE REQUIRED "THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE -You are responsible for complying with state and federal laws concerning construction near or on wetlands, lakes, and streams. R _- <br /> Wetlands that are not associated with open water can be difficult to identify. Failure to comply may result in removal or modification <br /> of construction that violates the law or other Penalties or costs. For more informatlon visit the Department of Natural Resources <br /> wetlands identification web page or contact a Department of Natural Resources service center. - <br />