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BURNETT COUNTY LAND SERVICES DEPARTMENT <br />BURNETT COUNTY GOVERNMENT CENTER <br />7410 COUNTY ROAD K, #120 <br />SIREN, WISCONSIN 54872 <br />(715) 349-2109 <br />IMPERVIOUS SURFACE MITIGATION AGREEMENT <br />In order to secure a Land Use Permit relative to Burnett County <br />Shoreland Protection Ordinance, the following restrictions will <br />apply to the use of any permitted structure permitted under WI <br />Admin. Code NR 115.05(1)(e)3.c.. <br />BURNETT COUNTY WISCONSIN <br />RECORDED ON: <br />10/25/2018 11:11 AM <br />PAGES: 3 <br />3EANINE CHELL <br />REGISTER OF DEEDS <br />REC FEE: $30.00 <br />TRANSFER FEE: $ <br />FEE EXEMPT # <br />1. For lots that exceed 15% impervious surface area, the <br />county shall issue a land -use permit that requires Return to: Burnett County Land Services Dept. <br />mitigation approved by the county and implemented by 7410 County Road K, #120 <br />the property owner by the date specified in the permit. Siren, WI 54872 <br />2. Owners may choose option(s) from the mitigation table in the Burnett County Shoreland Code of Ordinance <br />which have been approved by the County Board and WI DNR. Owner agrees to implement the following options, <br />as noted on the attached mitigation table: E and G <br />3. Owner agrees that failure to uphold the agreed upon provisions will result in the revocation of the Land Use <br />Permit shown above which may result in citations and removal of the proposed structure. <br />This covenant shall be considered a restrictive covenant upon the real estate and it shall run with the land and shall be <br />binding upon all futgre owners, heirs or assigns. <br />Legal Iription oflProperty: See attached <br />P cel Identi c 'on mber: 07-020-2-40-16-35-5 05-004-017000 <br />Slgnature (must sign in presence of notary public) Print Name <br />STATE OF WISCONSIN - COUNTY OF BURNETT <br />This instrument was acknowledged before me on a_-}, > b cy 2 Z 12_ U I by <br />(date) ` <br />G vacting as C <br />(Print Owner/Rep e ntative name, ifapplicable) (Position/Authori fapplicable) <br />on the behalf of ei t - c- 'iN <br />(Name of entity on behalf o whom instrument was executed, if applicable) <br />otary ature Print Name <br />Notary Public, State of Wisconsin. My Commission Expires: <br />KARISEGER <br />Notarial Seal - Iowa <br />Commission Number 785098 <br />My Commission Expires Jul 17, 2020 <br />Drafted by: Burnett County Land Services Department <br />