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i V�7 E <br /> APRON <br /> Burnett County <br /> Land Services Department <br /> "o. ADDITIONAL PROVISIONS <br /> • Removal or euttitg of trees and vegetation,as well as filling and grading are restricted within the shoreline area. Restricted <br /> shoreline area is all area from the Ohl\\'M to 50 ft from the 01 i\\'\t 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 /> — <br /> • Driveway must meet width/height requirements within 60 days of permit issuance date. Cleared width of 20 fl. Cleared height of <br /> 13 ft. See County Ordinance Chapter 30 for additional driveway requirements. <br /> • Accessory strueturelgarage permits 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. <br /> • ONE EXTENSION MAY BE GRANTED WITH APPROPRIATE APPLICATION. EXTENSION MUST BE APPLIED (/ <br /> FOR PRIOR TO ORIGINAL PERMIT EXPIRING. <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 /> — <br /> _ Wetlands that are not associated with open water can be difficult 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. 1 <br /> I <br /> - i(ow ncr)declare that this application(including any accompanying drawings and plans)has been examined by mc,and to the best of <br /> my knowledge and belief it is true, correct and complete. I acknowledge that I am responsible for the detail and accuracy of all <br /> - information contained in this application(including any accompanying drawings and plans),and i further declare that I recognize <br /> that this information provided will be relied upon by Burnett County in determining whether or not to issue a permit. I accept all <br /> liability that may be a result of Burnett County relying on the information I am providing in this application. I acknowledge that I <br /> will abide by all private/public 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 /> I . . ,.. <br /> OWNER'S SIGNATUR : ! 2 'A'4 <br /> (DA1 E) <br /> I ropers)Owner is required to sign and date this application. <br /> - SUBMIT COMPLETED APPLICATION,MAPS #AI\', + '1'O _ <br /> BURNEI f COUNTY LAND SE' � <br /> 7410 COUNTY ROAD K,11120 <br /> - SIREN,WI 54872 <br /> APPLICATIONS WILL BE ACCEPTED 4't''` S ` -4,-- 'AN IA i "CoURI►.R,OR IN P IZSON. PARTIAL OR 1NCOM14_I:TL 7 <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 BF ACCEPTED, CREDIT OR DEBIT CARDS E NOT ACCEPTED <br /> AT THIS TIME. PLEASE,MAKE CHECK PAYABLE TO: 13URNIi� P COUN'l'Y LAND SIiRVICGS <br /> Please call the Land Services Department if you have questions. 715-349-2109 <br /> Burnett County,WI ordinances can be found at: http:/hvww,bw'n�etteounty.coat/index.aspx?NID=1043 Alf <br /> Burnett County,WI Land Use Application—Rev 3/023 <br />