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FROM FARMERS STATE BANK-FREMONT (TUE)AUG 21 2012 8:28/ST. 8:27/No.7538178351 P 2 <br /> ruy a is vo.� I`+Vrl111011V ouauma nu; / is ZL Vy Ovo 11.I <br /> ti x <br /> Iumett County 74LO County Road K,No. 102, Siren,WI 54372 Office of Zoning Administrator a a o <br /> APPLICATION FOR LAND USE PERMITS <br /> y R <br /> )WNER KeithBxbmm TELEPHONE t� <br /> 1AIUNG ADDRESS 8961 Riverview Ln Aemont MN 54990 7 I W y <br /> 4ROPERTY ADDRESS 28966 E Yellow River Rd Danbury WI 54830 <br /> EGAL DESCRIPTION LOt 46 Pardun'sver Pines r• <br /> ♦PE DF PERMrn(S); SINGLEFAMILY DWET.IING❑ ADDITION X DECK❑ GARAGEIACCESSORY STRUCTURE O R <br /> n <br /> BUNKHOUSE❑ 59.692(IV)GAZEBO ❑ STAIRS❑ FILLING/GRADING❑ CAMPING UNR O E. <br /> d <br /> COMMERCIAL BUILDING 0 COMMERCIAL ADDITION❑ COMMERCIAL ACCESSORY STRUCTURE I:1 Q <br /> eTRUCTURWADOTTION USE:_. Hem! '` <br /> (MOme/C3bin; COmmercial Busing;Bedroom;OedG etc.) <br /> IUILDI1NG CONTRACTOR: NOrt " BWWers Inc <br /> n <br /> 1 PLOT PIAN MUST BE PROVIDED ON AN SS t/a X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PIANS � <br /> 3 <br /> tlILLBEREfURNED. <br /> O <br /> IIIREC13ONS FOR PLOT PLAN DRAWING2 (ARIAL OR TOP VIEW) <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TD BE SHOWN OR DRAWN TO SCALE. C <br /> L SHOW THE LOCATION AND SIZE OF ALL EXISTING SUILDINGS/STRUCTVRES(EB)AND ALL NEW a <br /> BUILDINGS/STRUC FURES(NB),INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, <br /> AND INDICATE NORTH(N). in <br /> 3. SHOW DIMENSIONS IN FEET OF THE FOLLOWING: (A)BURDING(S)TO ALL LOT LINTER, (B)BUILDINGS) <br /> TO CENTERLINE OF ROAD,(C)BUILDING MEASURE"ENT(S)TO THE ORDINARY HIGH WATER MARK o e <br /> (OHWM)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(0)LOT DBhENSIONS. <br /> 4. SHOW THE LOCATION OFTHE WELL(W), SEPTIC TANK(ST)AND DRAINFIELD(OF),AND ALL DISTANCES °G <br /> TO BUILDINGS,ROADS,LAIW, LOT LINES. <br /> S. INDICATE IF A WALKOUT BASEMENT IS PLANNED AND SHOW ARFAS 70 BE GRADED OR FILLED. • <br /> 6. IF SEPARATE PLANS ARE SUBMITTED BY AN ARCHITECT,ENGINEER,BUILDER,CONTRACTOR,ETC.,THE <br /> PLANS MUST BE SIGNED AND DATED BY TME OWNER. ti <br /> 1OTC BUIIMM/STRUCTURE LOCATIONS MUST BE STAKED 50 AN OMnE VERIFICATION MY BE DONE WHEN <br /> NEEDED. <br /> rHLS PERMIT IS SUIBItiT TO ALL CONOMONS LISTED BELOW: <br /> I. DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. r <br /> 2. REMOVAL OR CURING OF TREES AND VEGETATION IS RESTRICTED ALONG SHORELINE. <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. z <br /> A. NO STRUCTURES, INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER a <br /> SETBACK AREA. <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGEISTORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. <br /> 6. <br /> 7. � Slaye0_lat: 'V <br /> 33Z � m <br /> I dWare that this application(arbdiep any a000mpanyCop KhaaaRJ Naa been esaaMrrad ay ma aw to the best W mf Iraerrrlerlja O � <br /> sn0 tr11MKlstraa,eorraR and eemplebe. lodmoveladge that ram respamildefr oradetail andaacaneyof all lafarraEen 3 m ; <br /> mmurn d M this appikatinn(including any accomprtybg ukedeb)and I hrtlrcrdedsm drat I raosinbze that this infon.arim I W a Y a , <br /> am providing will be rallied UPON by the Carty W Morsrett Wefcontin in deeerrulning Whether to NUNN a panabl I farther accept BE R 3 w^ S <br /> !140 ly that maybe a nese t Ortho County W Burnett .t. <br /> aY h rdrirg"this iMormptlon 1 am pro <br /> in this appEaeor. I agaeo m <br /> Permit countV officials charged with administrating county ordinances or ethr authorized parson N have access re the abaft. <br /> described pramitas at may rNfallabb tlllla for tire Name"d suirache '1�'^`ry M�2r e r u tai ; <br /> tTOWINSHIP <br /> CJ D ��l t:rE 5 �OWNER'S Sl a(TIATURE �g.1 Ira <br /> ZONING ADMINISTRA ( AUG 2 2 2012 a a �' ° �' M° n3 t4iM PERMI MAY BE REQUIRED BURNETT COU <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE ZONING _ in <br /> ,.,_Sa � Ya'$ <br />