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• Proposed building/structure 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 walls, etc) are <br />not staked upon County staff visit, the permit will NOT be issued and it will be returned to the applicant. <br />• If all existing 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 ft 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 any 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 structure/garage permits allow for private residential storage only. "Not to be used for human habitation or rental <br />storage" <br />**TOWN/UDC PERMITS MAY BE 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 of Natural 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 plans) and I further 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 relying on the information I am providing in this application. I acknowledge that I <br />will abide by all private/public 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 />---ADDITIONAL COMMENTS FROM OWNER ALLOWED HERE --- <br />OWNER'S SIGNATURE: '4& <br />Property Owner is required to sign and date is application. (DATE) <br />SUBMIT COMPLETED APPLICATION, MAPS, PLANS AND FEE TO: <br />BURNETT COUNTY ZONING <br />7410 COUNTY ROAD K, #102 <br />SIREN, WI 54872 <br />APPLICATIONS WILL BE ACCEPTED VIA USPS, ANY STANDARD COURIER, OR IN PERSON. PARTIAL OR INCOMPLETE <br />APPLICATIONS WILL BE RETURNED TO THE APPLICANT. <br />NO EMAIL OR FAX APPLICATIONS WILL BE ACCEPTED. <br />Page 3 of 4 <br />Burnett County, WI Land Use Application — Rev 3/2016 <br />