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BURNETT COUNTY ZONING ADMINISTRATION <br /> BURNETT COUNTY GOVERNMENT CENTER <br /> 7410 COUNTY ROAD&#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 958 ' <br /> 2. The basement or crawlway floor must beat or above elevation 6(0 <br /> 3. The fill elevation must be at or above elevation qs 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 /> Signature of Applicant 147LIO Date �' ��-0 -1 <br /> ------------ <br /> s <br /> wit <br /> �� . SUSAN E.ENGGUIST <br /> NOTARY PUBLIC-MINNESOTA <br /> ' i�v Cenmissian Ezpirec Jan.31,2005 <br /> !�AM-M1L4./a�iv <br />