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• Proposed bulWWatreetere Wendons aanst be salad prior to soba ftft thb tap uadlon to the Zoning Ogee, county staff <br /> wlll do n onsite rill to verity sus eondffloaa. If ori proposed atraetares(including detia,patios,retahaing wafts,ate)are <br /> not salad epos County staff volt,the petmft w®NOT be bated and hwM be returned to the app kagL <br /> • If, 1 em4 ft attactum an the pared aft not shown end dhnesdonai on the Piot Plan tis pmt will NOT be <br /> leased and X wID be returned to the appacaet <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> • Rearwvel tar cottiag of trees end vegesatieu is rashieted wsthin 6ne ehoreilae area. Reatacted slwtelmc ams i$all ams fioen the <br /> OHWM to 50 8 from the OHWM. Contact the Zoa mg Oke prior to catdng any shoreline trees and vegetation. <br /> • No structures(=Wmg r'dmmg walb,etc.)are allowed within any setback,unless specifically pa=ttc& <br /> • No filling,grading,or dwne lend alterations am allowed unless gmct =Ry perx¢tta& <br /> • <br /> Driveway n�meet�nequiraments within 60 of <br /> • days permit isenance date. <br /> •• ll l le allow farprivabe residwtiai storage Cady. "Not to be used forkuman habitation or rental <br /> storsp <br /> ••TOWN/UDC PERMITS MAY BE REQUIRE. OWNER IS RESPONSIBLE FOR CONTACTING THE TOWN FOR MORE <br /> INFORMATION. <br /> "THIS PERMIT SHALL EXPIRE ONE YEAR FROM DA'Z'E OF ISSUANCE <br /> You(owner)aro mepondWe fat complying with tete and federal laws concemmg eonstncdoo near or on wetlands,lakes,and atmama. <br /> Wetlands d at are twt associated with open weber can be ddrwuh to UkOhI Y. Faiime to 00mPly may result in removal or modification of <br /> imien tint violates the law or other penalties or costa. For mom information visit dee Department of Natural Resources wetlands <br /> identification web page or contact a Department of NaWW Resources service center. <br /> I(owner)declare tbat thio application(bclaalhtg any accompanying drswhegs w d plana)has been.eundnsd by we and to the ben <br /> of my kww%dge add boiler tt b bv4 eorreet and complabe. I acknowledge that I fes responsible for the detail and accuracy of aU <br /> ahsr'madon contained Is ttds apphestlon(including any accompanying draw%V and pbea)and I percher declare that I recognbe <br /> that thb infornutlae provided WR be rolled aeon by Barlett County In dclersidi fug wiether to bane apersalt, I fm tker accept an <br /> HoWlity atiy <br /> that mbe a pewit of BurnedCounty rdybE on the knfongatiea I am provldlft in this applic*am I aclnewkdge that I <br /> win abide by aR PrIvaWPnWie Covaraets, restrictions, leases and easements wMa may apply to thio pareeL I agree to posit <br /> aunty etllelab charged with adnhddrzdng County ordinances or other authorized parsons to have aoeen to the abovedescrlbed <br /> prembes at any ressomMe time for the purpose of bnpeetion. <br /> i <br /> --ADDrM4AL CObOdEM FF.W OWNMALW IME— <br /> 5- t4 - lC <br /> OWNMIS SIGNA.aa.Y. `c <br /> hVer O "m lan.gokWt06V saddatad& MA <br /> SUBMIT COMPLETED APPLICATION,MAPS,PLANS AND MM TO: <br /> j BURNEIT COUNTY Zokm4G <br /> 7410 COUNTY ROAD I44#102 <br /> SIREN,WI 54872 <br /> APPLICATIONS WILL BE ACCBPTED VIA USPS,ANY STANDARD COURIER,OR IN PERSON. PARTIAL OR IIQC(Remm <br /> APPLICATIONS WILL BE RETURNED TO THE APPLICANT. <br /> NO EMAIL OR FAX APPLICATIONS WILL BE ACCEPIM. <br /> f Page 3 of 4 <br /> Barnett COanty,WI Land Use AppReatlon—Rev 3/2015 <br />