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BURNETT COUNTY LAND SERVICES DEPARTMENT <br /> BURNETT COUNTY GOVERNMENT CENTER <br /> 7410 COUNTY ROAD K,#120 <br /> SIREN,WISCONSIN 54872 PHONE (715)349-2109 <br /> CONDITIONS OF PERMIT FOR DEVELOPMENT IN A FLOODPLAIN <br /> l. The lowest floor must be at or above elevation 995.5' <br /> 2. The basement or crawlway floor must be at or above elevation 995.5' <br /> Or, if the basement or crawlspace will be flood-proofed in accordance with Wisconsin <br /> Administrative Code NR 116.16(1)&(2)and flood-proofing plans arc certified and <br /> signed by a Wisconsin licensed engineer or architect,the elevation may be at or above <br /> 993.5' <br /> 3. The fill elevation must be at or above elevation 994.5' extending 15 feet beyond <br /> 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 professional 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 A4-V7 Date ?13, OZ0I <br />