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ADDITIONAL PROVISIONS <br /> • Removal or cutting of trees and vegetation,as well as tilling and grading arc restricted within the shoreline area. Restricted <br /> shoreline area is all area from the OI WM to 5011 from the OIIWM landward. Contact the Land Services Department prior to <br /> cutting any shoreline trees and vegetation. <br /> No structures are allowed within any setback,unless specifically permitted. <br /> • Driveway must meet width/height requirements within 60 days of permit issuance dac. <br /> • Accessory.strueturegarage permit allow for private residential storage only. Not to be rented or used for human habitation. <br /> • TOWN/UDC PERMITS MAY BE.REQUIRED FROM TOWN MUNICIPALITIES. PROPERTY OWNER IS <br /> RESPONSIBLE FOR CONTACTING THEIR TOWN FOR MORE INFORMATION. <br /> • THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE.ONE EXTENSION MAY BE GRANTED. <br /> • THIS APPLICATION CONSTITUTES NOTICE THAT ALL IMPROVEMENTS ARE SUBJECT TO ACCESS AND/OR <br /> REVIEW BY THE LOCAL MUNICPALiTY'S TAX ASSESSOR FOR THE PURPOSE OF TAX ASSESSMENT. <br /> You (owner)are responsible for complying with state and federal laws concerning construction near or on wetlands, lakes, and streams. <br /> Wetlands that arc not associated with open water can be diffrctdr to identify. Failure to comply may result in removal or modification of <br /> construction that violates the law or other penalties or costs. For more information visit the Department of Natural Resources wetlands <br /> identification web page or contact a Department of Natural Resources service center. <br /> I(owner)declare that this application(including any accompanying drawings and plansl has been examined hf me,and to the hest of <br /> my knowledge and belief it is trite,correct and complete. I acknowledge that I am responsible for the detail and accuracy of all <br /> information contained in this application(including any acenetpantii drawings and plans),and I further declare that 1 recognize <br /> that this information provided will be relied upon by Burnett County in determining whether or not to issue a permit. 1 accept all <br /> liability that may be a result of Burnett County relying on the information 1 am providing in this application. I acknowledge that i <br /> will abide by all privatefpubiic covenants, restrictions,leases and easements which may, apply to this parcel. I agree to permit county <br /> officials charged with administrating county ordinances or other authorized persons to have access to the above-described premises <br /> at any reasonable time for the purpose of inspection. <br /> —ADDITIONAL COMMENTS FROM OWNER ALLOWED HERE— <br /> / <br /> OWNER'S SIGNATURE: —?S -4 /1/ z I <br /> 1D.ATFI <br /> Property(honer is required to siert and date this appiicaoea. <br /> SUBMIT COMPLETED APPLICATION,MAPS,PLANS AND FEE TO: <br /> BURNETT COUNTY LAND SERVICES <br /> 7410 COUNTY ROAD K,#120 <br /> SiREN.Wi 54,872 <br /> APPLICATIONS WILL BE ACCEPTED VIA USPS,ANY STANDARD COURIER.OR IN PERSON. PARTIAL OR LNCOMPLETE <br /> APPLICATIONS WILL BE RETURNED TO THE APPLICANT. NO EMAIL OR FAX APPLICATIONS WILL BE ACCEPTED. <br /> ONLY CHECK,MONEY ORDER OR CASH PAYMENT WILL BE ACCPETE:D_ CREDIT OR DEBIT CARDS ARE NOT ACCEPTED <br /> AT THIS TIME. PLEASE.MAKE CHECK PAYABLE TO: BURNETT COUNTY LAND SERVICES <br /> Please call the Land Services Department if you have questions. 715-349-2109 <br /> Burnett County,WI ordinances can be found at:http://www.burnettcou tv.com/inder aspx'NID=1043 <br /> Page 3 of 4 <br /> Burnett County, WI Land Use Application —Res 12/2020 <br />