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2025/05/23 - LAND USE - LUP - Filling/Grading - LUP-25-240
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2025/05/23 - LAND USE - LUP - Filling/Grading - LUP-25-240
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Last modified
5/23/2025 11:00:50 AM
Creation date
5/23/2025 10:04:40 AM
Metadata
Fields
Template:
Property Files v2
Document Date
5/23/2025
Document Type 1
LAND USE
Document Type 2
LUP
Document Type 3
Filling/Grading
County Permit Number
LUP-25-240
Tax ID
5699
Pin Number
07-012-2-40-15-26-5 05-002-012000
Legacy Pin
012422601800
Municipality
TOWN OF JACKSON
Owner Name
TRUST AGREEMENT OF JAYME M KESELEY
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ADDITIONAL PROVISIONS <br /> • Removal or cutting of trees and vegct ition,as well astfilling HWM land I laing e ndward. Contactstricted Vthe Land Services Departmenthin the shoreline area. tcted <br /> to <br /> shoreline area is all area from the O to 50 ft from <br /> cutting any shoreline trees and veget ion. <br /> • No structures are allowed within any etback,unless specifically permitted. <br /> • Driveway must meet width/height re uirements within 60 days of permit�suance date. Cleared width of 20 ft. Cleared height of <br /> 13 ft. See County Ordinance Chapte 30 for additional driveway require ents. <br /> • Accessory structure/garage permits a low for private residential storage or ly. Not to be rented or used for human habitation. <br /> • TOWN/UDC PERMITS MAY BE QUIRED FROM TOWN MUNJCIPALITIES. PROPERTY OWNER IS <br /> RESPONSIBLE FOR CONTACT G 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 PEI MIT EXPIRING. <br /> • THIS APPLICATION CONSTIT TES NOTICE THAT ALL IMPROVEMENTS ARE SUBJECT TO ACCESS AND/OR <br /> REVIEW BY THE LOCAL MUN CPALITY'S TAX ASSESSOR FOR THE PURPOSE OF TAX ASSESSMENT. <br /> You (owner) are responsible for complying ith state and federal laws concerni�g construction near or on wetlands, lakes, and streams. <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 p4 nalties or costs. For more information visit the Department of Natural Resources wetlands <br /> identification web page or contact a Deep artm nt of Natural Resources service center. <br /> I(owner)declare that this application(incl ading any accompanying drawings,and plans)has been examined by me,and to the best of <br /> my knowledge and belief it is true, corre t 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 reli d 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, estrictions,leases and easements which may apply to this parcel. I agree to permit county <br /> officials charged with administrating con ordinances or other authorized persons to have access to the above-described premises <br /> at any reasonable time for the purpose of i rkspection. <br /> ---ADD TIONAL COMMENTS FROM OWNER ALLOWED HERE-- <br /> I <br /> 1 <br /> OWNER'S SIGNATURE: (DATE) <br /> Property Owner is required to sign and date this mplication. <br /> i <br /> SUBMIT COMPLETED APPLICATION, APS,PLANS AND FEE TO: <br /> BURNETT COUNTY LAND SERVICES <br /> 7410 COUNTY ROAD K,#120 <br /> SIREN,WI 54872 <br /> APPLICATIONS WILL BE ACCEPTED V A USPS,ANY STANDARD COURIER,OR IN PERSON. PARTIAL OR INCOMPLETE <br /> APPLICATIONS WILL BE RETURNED T D THE APPLICANT.NO EMAIL OR FAX APPLICATIONS WILL BE ACCEPTED. <br /> ONLY CHECK,MONEY ORDER OR CA H PAYMENT WILL BE ACCPETED. CREDIT OR DEBIT CARDS ARE NOT ACCEPTED <br /> AT THIS TIME. PLEASE,MAKE CHECE PAYABLE TO: BURNETT COUI9TY LAND SERVICES <br /> Please call the Land Services Department if rou have questions. 715-349-2109 <br /> Burnett County,WI ordinances can b a found at:littps://www.bumeti countywi.gov/I 043/Count -Ordinances <br /> Page 3 of 5 <br /> Burnett County,WI Land Use Application—Rev 11/2024 <br />
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