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ADDITIONAL PROVISIONS <br /> • Removal or cutting of(rep;and vegetation,as well as filling and grading are restricted within the shoreline area. Restricted <br /> shoreline area is all area from the 01IWM to 50 ft from the Ol-IWM landward Contact the Land Services Department prior to <br /> .utting any she trees and vegetation. <br /> • N9 structures are allowed within any setbacIL unless specifically permitted. <br /> • Driveway must meet widthlicight requirement eithin 60 days of permit issuance date. Cleared width of 20 ft. Cleared height of <br /> 1 ft See County Ordinance- Chapter O for additional driveway requirements. <br /> • Accessory structure garage permits allow for pris ate residential storage only Not to be rented or used for human habitation. <br /> • TOWNIUDC 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 APPROPRLATE 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 Mt NICPALITY'S lAX ASSESSOR FOR THE PURPOSE OF TAX ASSESSMENT. <br /> You (owner) are responsible for complying with state and federal laws concerning construction near or on skctlands. lakes, and streams. <br /> Wetlands that arc not associated with open water can Ise difficult to identify. failure to comply may result in removal or modification of <br /> •.onstniction that violates the law or other penalties or costs. For more information visit the Department of Natural Resources wetlands <br /> identification sseb page or contact a Department of Natural Resources service center. <br /> I (owner)declare that this application (including any accompanying drawings and plans) has been examined by me, and to the best of <br /> aly knowledge and belief it is true, correct and complete. 1 acknowledge that I am responsible for the detail and accuracy of all <br /> nformation contained in this application (including any accompanying drawings and plans), and I further declare that I recognize <br /> :hat this information provided will be relied upon by Burnett County in determining w heater or not to issue a permit. I accept all <br /> lability that may be a result of Burnett County relying on the information I am providing in this application. I acknowledge that I <br /> OH abide bs all private/public cos enants, restrictions, leases and easements sshich MAI' apply to this parcel. I agree to permit counts <br /> Aficials charged with administrating county ordinances or other authorized persons to have access to the above-described premises <br /> II any reasonable time for the purpose of inspection. <br /> —.ADDITIONAL COMMENTS FROM OW\Fit Al LOWED HERE— <br /> YWNER'S -,212 el 3_ <br /> (DATE) <br /> 'npert Owner is required to sign and date this uppla-atiiiri <br /> Iff3M1 I COMM.FILL) APPLICATION, MAPS, PLANS AND ILL 10: <br /> 1..1t1sfETT COUNTY I.ANT) SLRV10ES <br /> 410 COI TNTY ROAD K. ,7120 <br /> IREN. W1 54872 <br /> .PPI,I(Al IONS Wit I RI, AccIpTFD VIA i TSPS. ANY s rANDARD couRIER. OR IN PLAsON. PAR I IAL OR INCOMPLETE <br /> ,PPLICATIONS WILL BE RETURNLD TO THE APPLICANI NO EMAIL OR FAX APPLICATIONS WILL BE ACCEPTED. <br /> INLY CIILCK. MONEY ORDER OR CASH PAYMI N I %VILA ACCPETED. CREDIT OR DEBIT CARDS ARE NOl ACCEPTED <br /> lflN TINIF ni:ASE. MAKE CI ILCK PAYABLE TO: BURNETT COUrN TY LAND SERVICES <br /> lease call the Land Set-%ices Department if you have questions. 7 5-349-2109 <br /> urnett County, WI ordinances can be found at: blip: ss ss ss.burnettcount .coni intic-N.asti ?N D-I 043 <br /> Page 3 of 5 <br /> Burnett County, WI Land ( se Application - Rev 3/2023 <br />