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a iGDITICriv A, iL Px CO SIGNS <br />• Rer,novu; or cltt'ng 3fir.es 4rI1 veget.':'on, as v,:ll as 1511i,ig acrl grnd`. ng m',, r.-3t;.ictcd rci`iJn the shoreline area. Restricted <br />shc.relinc: arcit is al' a.ea fry, m L; c: 0111WIJ to 511 fml `itf CI-'1'V1v1 land, ard. Can'aa.t th,s Land Se!r-/ws 7,:pat':rneni prior to <br />cutting aay sh orelinc Tees and vagciat'( n_ <br />• No structures are allowed within. any sebexk, unitr ss speci1zal!y t vrtniitud. <br />• Dxiveway must meet width/height requirements within 60 days of petmit issuance date. <br />• Accessory stiuctare/garage p,rmit., ai;o-vv far prit:.tc rasiden`i.y' storage attly. Not to be rented or used fav, hunian habitation. <br />• TOWNIUDC PEERMITS NIA, 117 FTE REQUIRED FROM TCt;r`JPROPERTY OWNER IS <br />RESPONSIBLE FOR CONTACTING THEIR TOWN FOR MORE INFORMATION. <br />• THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE. ONE EXTENSION MAY BE GRANTED. <br />• THIS APPLICATION CONST`TI?TTS NOTICE T17 4T 41L I; TPR01r.ZMENT5 AI?E SUBJECT TO ACCESS AND/OR <br />REVIEW BY THE LOCA.L I`,IUI`?TCPA.L1T)"S TAX ASSEFS01: FOR.7UT: P'P.;RTOSE OF TAX ASSESSMENT. <br />1 (01A., t) are respor,,sib!e fur comlrlyirg v;ith state and fedora( k. ;;r,, or -n wzztaands, la!:;5, and streams. <br />tlands tLt are nct sssocif.:ed t;ith c-cr 1j1L=M ca:n he liffct:l' tc ? �`'f}'. Fiilitre tc ,,^r;rmly mss re;::'`. in rrmov.il or :�.odikation of <br />struetiorh that violates th:� lav, or -�trer peniltier; o; cu-' ?. l :; rr.r.ra in`^t n.`. o 'vis'` thc. Departin nt ,-)f \attiral Resources wetlan=ds <br />ratification web page or c-ninct a Drpartment o`Natural Rssct: res saf�{ic :erit:.r. <br />wner) declare that this application (including any accornpanylrtg drawings and p)ans) has been examined by me, and to the best of <br />knowledge and belief it is true, correct and complete. I acknowledge that I ant responsible for the detail and accuracy of all <br />irmation contained in this application (including any accompanying drawings and plans), and I further declare that I recognize <br />t this information provided will be relied upon by Burnett County in ::etermining whether or not to issue a permit. i accept all <br />illity that may be a result of Burnett County relyigg on tbe! taforn-kado ? I ani providing in rhts ne plication. I acknowledge that I <br />abide by all private/public covenants, restrictions, ie�iaAs and easears which may apply to this parcel. 1 agree to permit county <br />class charged with .administrating county ordinances or other authorized persons to have access to the above-described premises <br />ny reasonable time for the purpose of inspection. <br />---ADDITIONAL COMMENTS FROM OWNER ALLOWED HERE--- <br />rorty Owner is required to sign and date this application. <br />3MIT COMPLETED APPLICATION, MAPS, PLANS AND FEE TO: <br />[,NETT COUNTY LAND SERVICES <br />0 COUNTY ROAD K, 4 120 <br />EN, WI 54872 <br />'LICATIONS WILL BE ACCEPTED VIA USPS, ANY STANDARD COURIER, OR IN PERSON. PARTIAL OR INCOMPLETE <br />'LIGATIONS WILL'BE RETURNED TO THE APPLICANT. NO EMAIL OR FAX APPLICATIONS WILL BE ACCEPTED. <br />LY CHECK, MONEY ORDER OR CAS.! PAY "MEN71 WILL, LE hCCPETED. i;REL17 OR DEBIT CARDS ARE NOT ACCEPTED <br />THIS TIME. PLEASE, MAKE CHECK PAYABLE TO: BURNETT COUNTY LAND SERVICES <br />tse call the Land Services Department if you have questions. 715-349-2109 <br />rnett County, W1 ordinances can be found at: htti2://www.burnetteounty.com/index.aspx?NID-1043 <br />Page 3 of 4 <br />Burnett County, WI Land Use Application — Rev 8/2018 <br />