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I BURNETT COUNTY LAND SERVICES DEPARTMENT <br /> BURNETT COUNTY GOVERNMENT CENTER <br /> 7410 COUNTY ROAD K,#120 <br /> SIREN,WISCONSIN 54872 <br /> (715)349-2109 <br /> IMPERVIOUS SURFACE MITIGATION AGREEMENT 704 IREFE'REMCE <br /> ONLY <br /> In order to secure a Land Use Permit relative to Burnett County <br /> Shoreland Protection Ordinance,the following restrictions will apply <br /> to the use of any permitted structure permitted under WI Admin. <br /> Code NR 1 15.05(I)(e)3.c.. <br /> 1. For lots that exceed 15%impervious surface area,the county <br /> shall issue a land-use permit that requires mitigation <br /> approved by the county and implemented by the property <br /> owner by the date specified in the permit. <br /> 2 Owners may choose option(s) from the mitigation table in Return to: Burnett County Land Services Dept. <br /> the Burnett County Shoreland Code of Ordinance which 7410 County Road K,#120 <br /> have been approved by the County Board and WI DNR. <br /> Owner agrees to implement the following options, as noted Siren,WI 54872 <br /> on the attached mitigation table: 2/3 of I <br /> 3. Owner agrees that failure to uphold the agreed upon provisions will result in the revocation of the Land Use Permit <br /> shown above which may result in citations and removal of the proposed structure. <br /> 4. The owner hereby agrees that at all times in the future, the real estate subject to this Agreement shall comply with all <br /> mitigation requirements of the Burnett County Shoreland Protection Code of Ordinances in effect at the time of signing <br /> of this document. <br /> 5. The owner further agrees to allow authorized representatives of the Governmental Unit to enter onto the owner's <br /> property during normal working hours at the following description to inspect the structure(s) authorized by Land Use <br /> Permit to determine if the mitigation options chosen has been established,restored,enhanced and/or preserved. <br /> This covenant shall be considered a restrictive covenant upon the real estate and it shall run with the land and shall be binding <br /> upon all future owners,heirs or assigns. <br /> Legal Description of Property: See Attached <br /> Parcel Identific ion Number: 07-034-2-37-18-21-5 05-003-023000 <br /> SC0rr 6-4/1 egis <br /> Signature(must sign in presence of notary public) Print Name <br /> STATE OF 1,14SCAAStk -COUNTY OF 8VAA'R..� <br /> This instrument was acknowledged before me on J 1' 2-02.3 by <br /> (date)1 <br /> ,acting as <br /> (Print Owner/Representative name,if applicable) (Position/Authority if applicable) <br /> on the behalf of SC.tf- (',ram.T <br /> (Name o`entity on behalf of whom instrument Itas executed,if anplicahle) <br /> L -84u S Wrack <br /> Notary Signature Print Name •.• 4•. <br /> ,#/..' • SQL <br /> Notary Public, State of W. . My Commission Expires: 4 tic ON'-1 �GTAR�.••.�o <br /> Drafted by: Burnett County Land Services Department =N,�►••. AUBLIG <br />