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9 2 <br /> Burnett County 7410 County Road K,No. 1021 Siren,WI 54872 Office of Zoning Administrator � <br /> APPLICATION FOR LAND USE PERMITS <br /> OWNER John and Manann Hartley TELEPHONE 612-816-2776 O <br /> C <br /> MAILING ADDRESS 12545 Danbury Way Rosemount MN 55068 <br /> ^ 1 <br /> PROPERTY ADDRESS 28970 Sweger Rd Danbury W154830 <br /> d] <br /> LEGAL DESCRIPTION Lot i CSM V 10 P87 and PO in Gov tot 7 07-012-2-40-IS-07-5 05-007-012000 5' <br /> TYPE OF PERMO(S): SINGLE-FAMILY DWELLING 0 ADDITION X DECK 0 GARAGEIACCESSORY STRUCTURE 0 <br /> BUNKHOUSE 0 59.692(1V)GAZEBO 0 STAIRS 0 FILLING/GRADING 0 CAMPING UNIT❑ Sg. <br /> COMMERCIAL BUILDING❑ COMMERCIAL ADDITION 0 COMMERCIAL ACCESSORY STRUCTURE 0 9 <br /> SIRUCIURE/ADDIRON USE: Home S '� <br /> (Home/Cabin;Commercial Business;Bedroom; Deck;etc.) o <br /> BUILDING CONTRACTOR: Northland Bu Iders Inc <br /> n <br /> A PLOT PLAN MUST BE PROVIDED ON AN 8 Ya X11 SHEET OF PAPER. ANY INCOMPLETE OR ILLEGIBLE PLOT PLI1N5 , <br /> WILL BE RETURNED. _ <br /> DIRECTIONS FOR PLOT PLAN DRAWING: (ARXAL OR TOP VIEW) 0 �` o. <br /> 1. ALL REQUIRED DIMENSIONS OR DISTANCES TO BE SHOWN OR DRAWN TO SCALE. `� 0 <br /> 2. SHOW THE LOCATION AND SIZE OF ALL EXISTING BUILDINGS/STRUCTURES(EB)AND ALL NEW 1. <br /> BUILDINGS/STRUCTURES(NB),INCLUDING DECKS,PORCHES AND OTHER STRUCTURES, m o <br /> AND INDICATE NORTH(N). O y <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 MEASUREMENT(S)TO THE ORDINARY HIGH WATER MARK C � <br /> (OHW M)OF LAKE,STREAM OR RIVER AND WETLAND AREAS,AND(D)LOT DIMENSIONS. <br /> 4. SHOW THE LOCATION OF THE WELL(W),SEPTIC TANK(ST)AND DRAINFIELD(DF),AND ALL DISTANCES ,9J <br /> TO BUILDINGS, ROADS, KE,LOT LINES. SJ <br /> LA <br /> S. 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 a <br /> PLANS MUST BE SIGNED AND DATED BY THE OWNER. yr' <br /> NOTE: BUILDING/STRUCTURE LOCATIONS MUST BE STAKED SO AN ONSITE VERIFICATION MY BE DONE WHEN ,y <br /> NEEDED. <br /> THIS PERMIT 15 SUBIECT TO ALL CONDITIONS LISTED BELOW: r. <br /> I 1. DRIVEWAY DRIVEWAY MUST MEET DRIVEWAY WIDTH REQUIREMENTS WITHIN 60 DAYS OF PERMIT. <br /> 2. REMOVAL OR CUTTING OF TREES AND VEGETATION 15 RESTRICTED ALONG SHORELINE. <br /> 3. NO GRADING OR SHORELAND ALTERATIONS ARE ALLOWED UNLESS SPECIFICALLY PERMITTED. z <br /> 4. NO STRUCTURES,INCLUDING RETAINING WALLS,ETC.,ALLOWED WITHIN THE REQUIRED WATER ? <br /> SETBACK AREA. OI i(r-nl <br /> S. ACCESSORY STRUCTURE/GARAGE PERMITS ALLOW FOR PRIVATE RESIDENTIAL GARAGE/STORAGE ONLY. <br /> NOT TO BE USED FOR HUMAN HABITATION. $J <br /> 6. <br /> 7. > at��0o� <br /> 9333E _ <br /> „ 3 3 3 0 <br /> IEelamthat this application(including any scomianYing sdIedule)has men examined by me and to use hast of my knowledge <br /> and belief it is tme,correct end umplea. 1 ackrwwlodge t t I am wponsible t Me detail and am of all information <br /> contained in this application(including any aawmpmryin sclredule and I lumber de is a Met I rthat <br /> pp m_ <br /> am din will be relied u g ) ema wri f . Mile Information I A <br /> providing port by Me County Maumett Wittonzin in dererminirp wbeaeraissuea permit lNrtberaaw all m �: ' ak� <br /> linen county aybeawanted winadminis BurnettuntyoonMTces <br /> other <br /> authorized <br /> utoin thiswacc access <br /> Iagreea <br /> permitmueannes at chargednabedministr the Purunty oMinanction. er auaorize0 persona have acceseaMe above- <br /> described premises at any reawnable 'nrt-t rae purpose of inspection. <br /> in a <br /> 3 � U8og8o <br /> OWNER'S SIGNATURE <br /> (dao <br /> m o Q 6 c <br /> ZONING ADMINISTRATOR <br /> OWNSHIP PERMITS MAY BE REQUIRED <br /> THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br />