2018/12/14 - LAND USE - LUP - Accessory Structure (Non-Bunkhouse) - LUP-18-469

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DocuSign Envelope ID: 17FC7421-22DA-4FDA-BAF3-20F1BC710623 ADDITIONAL PROVISIONS • Removal or cutting of trees and vegetation, as well as filling and grading are restricted within the shoreline area, Restricted shoreline area is all area from the OH%k'M to 50 ft from the OHWM landward. Contact the Land Services Department prior to cutting any shoreline trees and vcbctation, • No structures are allowed within anv setback, unless specifically permitted. • Driveway must meet width"height requirements within 60 days of permit issuance date. • Accessory structure,+garage permits allow tier private residential storage only. Not to he rented or used ttlr hii man habitation. • TOWN/UDC. PERMITS MAY BE REQUIRED FROM TOWN MUNICIPALITIES. PROPERTY OWNER 1S RESPONSIBLE FOR CONTACTING THEIR TO'%VN FOR MORE INFORMATION. • THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE, ONE EXTENSION MAY BE GRANTED. • THIS APPLICATION CONSTITUTES NOTICE THAT ALL IMPROVEMENTS ARE SUBJECT TO ACCESS AND/OR REVIEW BY THE LOCAL MUNICPALITY'S TAX ASSESSOR FOR THE PURPOSE OF TAX ASSESS IHEN"T. You (owner) are responsibly for complying with state and fcdcral laws concerning construction near or on wetlands, lakes, and streams. 'Wetlands that are not associated with open %vatcr can bu difficult to identify. Failure to comply may result in removal or modification of construction that violates the law or other penalties or costs. I -or more infornation visit the Department of Natural Resources wetlands identification web page or contact a Department of Natural Resources service: center. 1 (owner) declare that this application (including vny accompanying drawings and plans) has been examined by me, and to the best of my knowledge and belief it is true, correct and complete. I acknowledge that I ant responsible for the detail and accuracy of all information contained in this application (including any accompanying drawings and plans), and 1 further declare that I recognize that this information provided will be relied upon by Burnett County in determining whether or not to issue a permit. I accept all liability that may he a result of Burnett C'ounh relying on the information t am providing in this application. I acknowledge that �sIll abide by all privatefpublic cotenants, restrictions, leases and easement. which mac apply to this parcel. 1 agree to permit county officials charged with administrating county ordinances or other authorized persons to ha%e access to the above-described premises at any reasonable time for the purpose of inspection. —ADD(T[UNAL COMMENTS FROM OWNER ALLOWED 1IFRF--- e.aw..W OWNER'S SiGNATURE I.b 1U•r .T 5- >z/t>/zois ,,,..o, "lam (DATE) Property Owner is required to sign and elate this application, SUBMIT COMPLETED APPLICATION, MAPS, PLANS AND FEE TO: BURNETT COUNTY LAND SERVICES 7410 COUNTY ROAD K, M1 20 SIREN. WI 54972 APPLICATIONS WILL BE ACCEPTED VIA USPS, NNY STANDARD COURIER, OR IN PERSON. PARTIAL. OR INCOMPLETE APPLICATIONS WILL BE RETURNED TO THE APPLICANT. NO EMAIL OR FAX APPLICATIONS WILL BE ACCEPTED. ONLY (-HECK, MONEY ORDER OR CASH PAYMENT WILL BE ACC'PFTFD CREDIT" OR DEBIT CARDS ARE NOT ACCEPTED AT TiIiS TIME. PLFASF, MAKE CIIFCK PAYABI.F TO: HURNFTT (:0U"NTN' I.AND SF.RViCF.S Please call the Land Services Department if you have questions. 715-344-2109 Burnett County, %N I ordinances can be found at: hiti):l. www-.burnettcounh.cont/index.asp%?NID=1043 Page 3 of 4 Burnett County, x'4'1 Land Use Application — Rev 8/2018