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THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> • Removal or cutting of trees and vegetation is restricted within the shoreline area. Restricted shoreline area is all area from the <br /> OHWM to 50 ft from the OHWM. Contact the Zoning Office prior to cutting any shoreline trees and vegetation. <br /> • No structures(including retaining walls,etc.)are allowed within any setback,unless specifically permitted. <br /> • No filling,grading,or shore land alterations are allowed unless specifically permitted. <br /> • Driveway must meet width/height requirements within 60 days of permit issuance date. For driveways onto County roads contact <br /> the Burnett County Highway Department for a permit. For driveways onto Town roads contact applicable town to determine if a <br /> permit is required. For driveways onto State roads contact WisDOT to determine if a permit is required. <br /> • Accessory structure/garage permits allow for private residential storage only. **Not to be used for human habitation or rental <br /> storage" <br /> **TOWN/UDC PERMITS MAY BE REQUIRED. OWNER IS RESPONSIBLE FOR CONTACTING THE TOWN FOR MORE <br /> INFORMATION. <br /> **THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br /> You(owner and applicant) are responsible for complying with state and federal laws concerning construction near or on wetlands, lakes, <br /> and streams. Wetlands that are not associated with open water can be difficult to identify. Failure to comply may result in removal or <br /> modification of construction that violates the law or other penalties or costs. For more information visit the Department of Natural <br /> Resources wetlands identification web page or contact a Department of Natural Resources service center. <br /> I (applicant) declare that this application (including any accompanying drawings and plans) has been examined by me and to the <br /> best of my knowledge and belief it is true,correct and complete. I acknowledge that I am responsible for the detail and accuracy of <br /> all information contained in this application (including any accompanying drawings and plans) and I further declare that I <br /> recognize that this information provided will be relied upon by Burnett County in determining whether to issue a permit. I further <br /> accept all liability that may be a result of Burnett County relying on the information I am providing in this application. I <br /> acknowledge that I will abide by all private/public covenants, restrictions, leases and easements which may apply to this parcel. I <br /> agree to permit county officials charged with administrating county ordinances or other authorized persons, including the assessor <br /> to have access to the above-described premises at any reasonable time for the purpose of inspection. <br /> ---ADDITIONAL COMMENTS FROM APPLICANT ALLOWED HERE--- <br /> APPLICANT'S SIGNATURE: -icl—2.o n <br /> (DATE) <br /> SUBMIT COMPLETED APPLICATION,MAPS,PLANS AND FEE TO: <br /> BURNETT COUNTY ZONING <br /> 7410 COUNTY ROAD K,#102 <br /> SIREN,WI 54872 <br /> APPLICATIONS WILL BE ACCEPTED VIA USPS,ANY STANDARD COURIER,OR IN PERSON. PARTIAL OR INCOMPLETE <br /> APPLICATIONS WILL BE RETURNED TO THE APPLICANT. <br /> NO EMAIL OR FAX APPLICATIONS WILL BE ACCEPTED. <br /> ONLY CHECK,MONEY ORDER OR CASH PAYMENT WILL BE ACCPETED. CREDIT OR DEBIT CARDS ARE NOT ACCEPTED <br /> AT THIS TIME. MAKE CHECK PAYABLE TO: BURNETT COUNTY ZONING <br /> Please call the Zoning Office if you have questions. 715-349-2138 <br /> Burnett County,WI ordinances can be found at: htty://www.burnetteounty.com/index.asox?NID=415 <br /> Page 4 of 5 <br /> Burnett County,WI Tower Application—Rev 1/2017 <br />