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ADDITIONAL PROVISIONS <br /> • Renlotal or Cutting of trees anti tcgetatinn,as ttell at`tilling alnl grading are restricted within the shulcline:ilea. Restricted <br /> shoreline area is all area from the OHWM 10 511 fl from the OIIWM landward. Contact the Lund Service.:Department prior to <br /> cutting any shoreline trees and vegetation. <br /> • No ctruCtures are allowed sithrn any setback.unless specifically permitted. <br /> • Driveway roust meets ui►lvheight requirements within nil Jays of permit Issuance date. <br /> • Accessory stnteture garage permits allns tiw prnate residential storage only. Not to be rented or used for human habitation. <br /> • 'T(1fy1 Nllrt('PFRN11'1'S NI AY BE REQUIRED FROM'rows\Il SlC1P 11.1'1IF:S. PROPERTY OWNER IS <br /> RESPIINS(HI.F:FOR('ONT:1('TIN(: TOWN FOR MORE INFI)RNA'IiON. <br /> • THIS PERMIT SHAI.I.EXPIRE:ONE 1'E•1R FROM DATE OF ISSUANCE.ONE EXTENSION MA I'HF:Ck tS'ED. <br /> • THIS APPLICATION('ONSTII'I"I F.S NOTICE:'IH•11'Al I.{NIPRON F:\1F:NI S ARE SI'BJF:C'1"1'O,1('CF.SS AND/OR <br /> REVIEW KY THE I.I/ CAI.MI NICPAI.I IN'S TAX ASSESSOR FOR THE PURPOSE OF TAX ASSESSMENT. <br /> You toa)ter)are responsible for eonlphlng with state and teder.J lass concerning Construction near or on sell:gals. lakes.and streams <br /> \\e(lands that are not associated wtlh open aaler C.In he difficult to 'demif). I mute to comply nfay tesuit lit ren)otal or mod1litattnfl of <br /> construction Mal siolateS the law or other penalties or cost.. Fur Isxtre inti,nttailon s i.il the Department nl Natural Resources wetland'. <br /> "knitnealinn web page or Contact a I)epartrnent ut Natural Resources set vice center. <br /> I(owner)declare that this application(including uns accompunsing dressings and plans)has been estimined by me.surd to lilt`hart 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 applicatkm(including any accnmpunying drawings and plans).and I further declare that I recognize <br /> that this information provided will be relied upon by Kurnett County in determining whether or not to issue a permit. I accept all <br /> liability that may be a result of Burnett(aunty relying on the information I am providing in this application. I acknowledge that I <br /> will abide by ail pris ate/public cos ennuis.restrictions.leases and easements which nuts appls to this parcel. I agree to permit county <br /> officiate charged with administrating county ordinances or other authorized persons to have access to the mhoseilescrihed premises <br /> at any rensonabie time for the purpose of inspection. <br /> •-•mooft11\•\I (tl\tss1k\I1t RIM u\1".)I Al 'Ivan t <br /> CAMPER'S SIGNATURE:Y� GATE; w <br /> OWNER'S SI(:NATI-Rl:: <br /> ` yll la3 <br /> ll)ATF:t <br /> I'rorhrrq 1 Hand 1.resumed to.igii mid drlr tins application <br /> tIi ( ) 1l'II f1I)API'II('AI'ION.\lAl'S.l't.ANM AND F11 I(1 <br /> III:RNI:l'I COlINTY LAND SF.R\'I('l' <br /> 74In COUNTY RI)AI)K,wl 2(t <br /> SIREN,WI 5dx72 <br /> :\pP1.ICAIIUNS J1III I►l A('( i•.1'II l)\'IA I `PS. A\1'S'IANDARI)('1)1'R1114,t)R IN 1'I RS(IN I'\R11\Lr4R IN(()Atl'1.1 II. <br /> AI'PLII'A l IONS Volt I III RI lt!RNFI) I t) 1 III'ANTI(AN I NO L5IAII,OR FAA Al'I'LI('A TIONs\I lll. HI. Act'I-P <br /> ONLY LLIF(K.Alt)hi Y IIRI)Pft t1K( ,\Sli P,\YM1 \I WILL. 1st-.\(t'PI III). ('1401.1 OR I)1:1111 ('AKI)S r\I(I NDI :\('( t I'I PI) <br /> \I Tills'l1SIP., PLLASL.M:\KL_C.I ILCK I'.\YAHLI. To LIIJRN L i I CUL NIA LAND SLR\ICL.S <br /> PICase Call the I.atxl Sesices Department il'you have tlue.nons. 715-49.2II)t) <br /> Burnett Count),WI ordinances can be found at: httn:/lsswvs.burnetteountl.consiindcx.asps:'NID=I043 <br /> Page 3(it'5 <br /> Burnett County.WI Land Use Application—Rev 0512022 <br />