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• Proposed bufidingAtrueture locations must be staked prior to submitting this application to the Zoning Office. County staff <br /> will do an onsite visit to verify site conditions. If all proposed structures(including decks,patios,retaining wails,etc)are <br /> clot staked upon County staff'visit,the permit will NOT be issued and it will be returned to the applicant. <br /> • If all ensthtg structures on the parcel are not shown and dimensioned on the plot plan drawing,the permit will NOT be <br /> issued and it will be returned to the applicant. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW_ <br /> • Removal or cutting of trees and vegetation is restricted within the shoreline area. Restricted shoreline area is all area from the <br /> OHWM to 50 it from the OHWM. Contact the Zoning Office prior to cutting any shoreline trees and vegetation. <br /> • No structures(including retaining walls,etc.)are allowed within arry setback,unless specifically permitted. <br /> • No filling,grading,or shore land alterations are allowed unless specifically permitted. <br /> • Driveway must meet width/height requirements within 60 days of permit issuance date. <br /> • Accessory structurefgarage permits allow for private residential storage only, "Not to be used for human habitation or rental <br /> storage* <br /> *TOWN/UDC PERMITS MAYBE REQUIRED, OWNER IS RESPONSIBLE FOR CONTACTING THE TOWN FOR MORE <br /> INFORMATION. <br /> "THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE <br /> You (owner) are responsible for complying with state and federal laws concerning 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 penalties or costs. For more information visit the Department of Natural Resources wetlands <br /> identification web page or contact a Department ofNatural 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 <br /> of 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 application (including any accompanying drawings and pians) and I farther declare that I recognize <br /> that this information provided will be relied upon by Burnett County in determining whether to issue a permit. I further accept all <br /> liability that may be a result of Burnett County retying on the information I am providing in this application. I acknowledge that I <br /> will abide by all privateipublic covenants, restrictions, leases and easements which may apply to this parcel. I agree to permit <br /> county officials charged with administrating county ordinances or other authorized persons to have access to the above-described <br /> premises at any reasonable time for the purpose of inspection. <br /> ---ADDrIlONAL COMMENTS FROM OWNER ALLONNTD BERF--- <br /> � <br /> Ll— <br /> OWNER'S <br /> — <br /> OWNER'S SIGNATURF: it �✓`tLr u tJ� �INY�— L <br /> _ (DATE) <br /> Property Owner is required to sign and date this application. J`("1,(`( t Gid- C ( (t„i/e," <br /> SUBMIT COMPLETED APPLICATION,MAPS,PLANS AND FEE TO: <br /> BURNETT COU1%1TY ZONING <br /> 7410 COUNTY ROAD K,##102 <br /> SIREN, VVI 54$71) <br /> APPLICATIONS WILL BE ACCEPTEDVIA USPS. ANY STANDARD COURIER, OR IN PERSON. PARTIAL OR INCOMPLETE <br /> APPLICATIONS WILL BE RETURNED TO THE APPI.,ICANT. <br /> NO EMAIL OR FAX APPLICATIONS WILL BE ACCEPTED. <br /> Page 3 of 4 <br /> Burnett County,WI Land Use Application—Rear 412015 <br />