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BURNETT COUNTY ZONING ADMINISTRATION <br /> BURNETT COUNTY GOVERNMENT CENTER <br /> 7410 COUNTY ROAD K,#102 <br /> SIREN,WISCONSIN 54872 PHONE (715)349-2138 <br /> CONDITIONS OF PERMIT FOR CONSTRUCTION OF A <br /> DWELLING IN A FLOODPLAIN <br /> 1. The lowest floor must be at or above elevation � V <br /> 2. The basement or crawlway floor must be at or above elevation <br /> 3. The fill elevation must be at or above elevation s�� extending 15 feet <br /> beyond the limits of the structure. <br /> I understand the above conditions for development in a floodplain. <br /> I understand and agree to have a certification completed and submitted by a registered <br /> professional engineer or registered land surveyor showing actual building and fill elevations <br /> within one year of permit issuance. <br /> I also understand that this certification will be used for the County's final certificate of <br /> compliance for this land use permit. <br /> I n, rt <br /> Signature of Applicant 1�` ""'"" '� Date (—L) <br />