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BURNETT COUNTY LAND SERVICES DEPARTMENT <br /> BURNETT COUNTY GOVERNMENT CENTER <br /> 7410 COUNTY ROAD K,#120O <br /> SIREN,WISCONSIN 54872 <br /> (715)349-2109 — <br /> IMPERVIOUS SURFACE MITIGATION AGREEMENT <br /> In order to secure a Land Use Permit relative to Burnett County L <br /> Shoreland Protection Ordinance,the following restrictions will apply <br /> to the use of any permitted structure permitted under WI Admin. <br /> CodeNR 115.05(1)(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 <br /> the Burnett County Shoreland Code of Ordinance which Return to: Burnett County Land Services Dept. <br /> have been approved by the County Board and WI DNR. 7410 County Road K,#120 <br /> Owner agrees to implement the following options, as noted Siren,WI 54872 <br /> on the attached mitigation table: C <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 /> S. 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 Legal Description <br /> Parcel Identification Number:07-020-2-40-16-16-5 15-535-014000 <br /> ZUt�lq- <br /> Signature(must sign in presence of notary public) <br /> 1 p <br /> STATE Opi ]„Q�D�uZrr}COUNTY OF Print Name <br /> ��i �,�- <br /> This instrument was acknowledged before me on <br /> r V by <br /> 1�&� � (date) <br /> (Print ner/Representative name, if applicable) acting as <br /> (Position/Authority if applicable) <br /> on the behalf of <br /> (Name of entity on behalf of whom instrument was executed,if applicable) <br /> Notary Signature <br /> �v�,/J' Print Name <br /> Notary public, State of ���� '�, I Commission Expires: 7—o�e "� <br /> MICHELLE MOEN <br /> Notary Public <br /> Drafted by:Burnett County Land Services Department State of Wisconsin <br />