2022/05/23 - LAND USE - LUP - Camping Unit - CAM-22-08

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• This permit requires a code compliant sewer system,and the camper must be properly connected to the sanitary system. A privy type/portable toilet type system is not allowed as the only system unless all indoor and outdoor plumbing and fixtures are removed from the camper. . • Camper must be at least 75 ft. from the OHWM,at least 40 ft. from any wetland,at least 25 ft. from any side lot line,and meet all other setbacks. • Camper must meet floodplain requirements. • Camper parcel must have county issued site address. • Only one camper allowed per parcel. • Only one six month camper permit can be issued per calendar year per parcel. The other six months of the year,the camper must be stored appropriately or off the parcel. Stored appropriately means in an enclosed building or the camper body completely covered. • Only one three year camper permit can be issues per parcel. A Conditional Use Permit(CUP)will be required for each consecutive three year period. Regardless if parcel ownership changes,only one three year camper permit can be issued. • TOWN/UDC PERMITS MAY BE REQUIRED FROM TOWN MUNICIPALITIES. PROPERTY OWNER IS RESPONSIBLE FOR CONTACTING THEIR TOWN FOR MORE INFORMATION. • THIS APPLICATION CONSTITUTES NOTICE THAT ALL IMPROVEMENTS ARE SUBJECT TO ACCESS AND/OR REVIEW BY THE LOCAL MUNICPALITY'S TAX ASSESSOR FOR THE PURPOSE OF TAX ASSESSMENT. You (owner) are responsible for complying with state and federal laws concerning construction near or on wetlands, lakes, and streams. Wetlands that are not associated with open water can be difficult to identify. Failure to comply may result in removal or modification of construction that violates the law or other penalties or costs. For more information visit the Department of Natural Resources wetlands identification web page or contact a Department of Natural Resources service center. I(owner)declare that this application(including any accompanying drawings and plans)has been examined by me,and to the best of my knowledge and belief it is true, correct and complete. I acknowledge that I am responsible for the detail and accuracy of all information contained in this application (including any accompanying drawings and plans), and I further declare that I recognize that this information provided will be relied upon by Burnett County in determining whether or not to issue a permit. I accept all liability that may be a result of Burnett County relying on the information I am providing in this application. I acknowledge that I will abide by all private/public covenants,restrictions,leases and easements which may apply to this parcel. I agree to permit county officials charged with administrating county ordinances or other authorized persons to have access to the above-described premises at any reasonable time for the purpose of inspection. ---ADDITIONAL COMMENTS FROM OWNER ALLOWED HERE--- OWNER'S SIGNATURE: (DATE) Property Owner is required to sign and date this application. SUBMIT COMPLETED APPLICATION,MAPS,PLANS AND FEE TO: BURNETT COUNTY LAND SERVICES 7410 COUNTY ROAD K,#120 SIREN,WI 54872 APPLICATIONS WILL BE ACCEPTED VIA USPS,ANY STANDARD COURIER,OR IN PERSON. PARTIAL OR INCOMPLETE APPLICATIONS WILL BE RETURNED TO THE APPLICANT.NO EMAIL OR FAX APPLICATIONS WILL BE ACCEPTED. ONLY CHECK,MONEY ORDER OR CASH PAYMENT WILL BE ACCPETED. CREDIT OR DEBIT CARDS ARE NOT ACCEPTED AT THIS TIME. PLEASE,MAKE CHECK PAYABLE TO: BURNETT COUNTY LAND SERVICES Please call the Land Services Department if you have questions. 715-349-2109 Burnett County,WI ordinances can be found at: http://www.burnettcounty.com/index.aspx?NID=1043 Page 3 of 3 Burnett County,WI Land Use Camping Application—Rev 11-2021