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e� La--)-� <br /> Burnett County 7410 Co. Rd. K, No. 102, Siren,W164872 Office of Zoning Administrator -V C) z <br /> APPLICATION FOR LAND USE PERMITS 3. <br /> H 0 <br /> C <br /> OWNER Doo /a,5 L e(a / TELEPHONE �����/6� �0�� 0 <br /> , O <br /> HOME ADDRESS /V�Z 3 0 �Pv r IQc� !7C{G(J 1C //f s �j , 57 i <br /> o <br /> EMERGENCY/FIRE NUMBER ROAD NAME <br /> Eog/e Zke ISS, <br /> I <br /> (� <br /> II � r <br /> LEGAL DESCRIPTION(see tax receipt) �-H0.c hd OeG cw5e o-f ferry t4 c <br /> rn 0 <br /> TYPE OF PERMIT(S): DWELLING/BUILDING �GARAGE/ACCESSORY STRUCTURE ADDITION Cr <br /> a <br /> SANITARY PRIVYqj <br /> V FILLING/GRADING CAMPING UNIT SUBDIVISION 0 <br /> STRUCTURE/ADDITION USE: <br /> (Home/Cabin;Commercial Busine s;Bedroom;Deck;etc.) it <br /> i <br /> A PLOT PLAN MUST BE PROVIDED ON A SEPARATE SHEET OF PAPER. ANY INCOMPLETE OR In 3 <br /> ILLEGIBLE PLOT PLANS WILL BE RETURNED. <br /> x a <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (AERIAL OR TOP VIEW) On a <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. m <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS(EB)AND ALL NEW BUILDINGS(NB)AND INDICATE C n <br /> NORTH(N). y o <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BUILDING(S)TO ALL LOT LINES, (B)BUILDING(S)TO m v <br /> CENTERLINE OF ROAD,(C)BUILDING(S)MEASUREMENT TO THE ORDINARY HIGH WATER MARK(OHWM)OF LAKE, Z <br /> STREAM OR RIVER. I P <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES TO BUILD- O <br /> INGS, ROADS, LAKE, LOT LINES. r ' <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 PLANS <br /> MUST BE SIGNED AND DATED BY THE OWNER. ,o' c <br /> o N ( , <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED FOR ONSITE VERIFICATION BEFORE A PERMIT CAN BE Cr <br /> 0 S (L <br /> ISSUED. a QJ <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW. Z <br /> 0 <br /> CONDITIONS OF PERMIT: <br /> 76 <br /> 1. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT ( U W <br /> ISSUANCE. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY <br /> PERMITTED. <br /> 4. NO STRUCTURES, INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN 75 FEET OF THE OHWM OF LAKES, <br /> PONDS, RIVER UNLESS SPECIFICALLY PERMITTED. <br /> 5. <br /> N•/ew ( T(leQ� �1/i d JO rLS MM m m g o k O v <br /> 6. /510 6,al.- %A 5-c n$ a <br /> v <br /> CA o 3 <br /> 7. 2"-e— Lake� WS 5Y&8 oZ w m q m 1 <br /> Cn m <br /> I declare that this application (including any accompanying schedule) has been examined by me and to the best of my c <br /> knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of a E <br /> all information contained in this application(including any accompanying schedule)and I further declare that I recognize m m m <br /> that this information I am providing will be relied upon by the C c Tr�determining whether to is- r^ d D <br /> V I <br /> sue a permit. I further accept all liability which may be a res 1 ccg tt i g on this Information I am m <br /> providing in this application. I agree to permit county offl I t uhty ordinances or other <br /> authorized pere o have access to the above d scribed p ses at any reasonable time for a purpose of inspection. T <br /> m : <br /> APR 3 0 1998 <br /> SIGN HERE <br /> (signature of owner or building con ac r (date) <br /> �URNETT COUNTY ' <br /> ZONING ADMINISTRATOR �nnllr.ir_ w h h w <br /> NtnNN (!i <br /> V7 VtO(TN O <br /> 0 0 0 0 0 <br /> TOWNSHIP PERMITS MAY BE REQUIRED <br />