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07/13/2007 01:34 8888893802 ROBERT NYBERG PAGE 04/04 <br /> Burnett County 7410 County Road K, No. 102, Siren,WT 54872 Office of Zoning Administrator e <br /> APPLICATION FOR LAND USE PERMITSa. <br /> a <br /> �?oa� �ess-g'gfa <br /> A, ,( TELEPHONE <br /> OWNER •A)+A1 APIA IHRRrAIJ/ 6 A'h1VQR.603 ys,,�,,�� <br /> MAILING ADDRESS S�aa. VPDOKr-iSj-b 4V 'moo Aeod(FlE-k1Z4- ('051 �} <br /> PROPERTY ADDRESS Sp o orjeR, (.LJ _7 �1(�0 ( 6 Ca <br /> t I <br /> LEGAL DESCRIPTION <br /> SINGLE FAMILY DWELLING GARAGE/A CESSORY STRUCTURE 0 ADDITION STAIRS ❑ <br /> TYPE OF Pstavr(s): <br /> ftLLINWGRADING❑ CAM/PING UNIT❑ BUNKHOUSE❑ 59.692(1V)GAZEBO D DECK Q <br /> STRUCTURE/ADDITION USE: 1+01"46 w r rt1-rAcff6p Wa~ � �, x 1 <br /> (Home/Cabin;Commercial Busirlm; Bedroom; Deck:alt.) I `� <br /> BUILDING CONTRACTOR: M�N�F�YWKe=O FLn ME t SE4' j s <br /> Y � <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Va X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT'.PLANS <br /> WILL BE RETURNED. <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARIAL OR TOP VIEW) 0 R <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. to a <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW CN <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH (N). <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A) BUILDING(S)TO ALL LOT LINES, (B) BUILDING(S) <br /> TO CENTERLINE OF ROAD,(C)BUILDING MF ASUREMENT(S)TO THE ORDINARY HIGH WATER MARK o <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS. H a <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. �0d <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW AREAS TO BE GRADED OR FILLED. ed nom' P (� <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. <br /> NOTE: BUILD114WSTRUCTl1RE LOCATIONS MUST BE STAKED 50 AN ONSITE VERIFICATION MY BE DONE WHEN I W - <br /> NEEDED. <br /> THIS PERMIT IS SUBIECTTO ALL CONDITIONS LISTED BELOW: <br /> x <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. z Q, <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. �? <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. �1 <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER <br /> SETBACK AREA. O� <br /> 5- ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGEONLY. C <br /> NOT TO BE USED FOR HUMAN HABITATION. g <br /> 6, - nf1mSgQ,9C <br /> 7. 3' <br /> I dedare tact thm application(Including achy accompanying schedule)has been esadmed by me and to the best of my law dge �x rn a N ; ��• <br /> and belief R m true,correct and complete. I admowledoo that I am responsible for the detail and accuracy of all Information e <br /> contained in this application(IndWing any accmipanTdng schedule)and I px8ter declare that I recognize chat this Inkimatlon I ,� « <br /> am providing VIII be honed upon by the County of Durran Wimmin In determining whether to meas a permit I Nrt her accept all <br /> Ilebeay that may be a resin Of the County of Summit relying on this Information I am providing In this application, i agree to ^ n o <br /> permit county nmdzls charged wall edminairal wunry ohdaarneea w o0mr authorized person to have aaeoss to the cube"- S m <br /> desamed ptemises at any time for tla d Map `� <br /> s Z <br /> OWN6L5 SIGNATu (date) rp <br /> ZONING ADMINISTRATOR I IYl n I g <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE o N <br />