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ADDITIONAL PROVISIONS <br />• Removal or cus ung of mass and vegetation. As well as filling And produce art murclM within the, Shorelines em. ResnnM <br />sfurtlwe area is all area Does the OHWM to 50 ft from the OHWM Ianlward Comul the Zaung DID prior b catling any <br />• sbmlNeum W vegetation. <br />Nawswa m must <br />allowed wxl within •re quince a nts wiffiws specificallyadf permted. <br />• IkivewaYmun meet witlthtFoim allow <br />forpm itbinfA days ofrage:rric Not <br />• Amworyswnme.'garaFe petmin allowfmptivau midrntial storage only. Notmbe reined or used for human M1ebimtion. <br />• TOWN/LDC PERITSMAF BE REQUIRED FROM"" MUNICIPALITIES. PROPERTYOANERIS <br />RESPONSIBLE FOR CONTACTING THEIRTOWN FOR MORE INFORMATION. <br />• THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE. ONE EXTENSION MAY BE GRANTED. <br />You (owner) are terrtmodle for complying with sure and frdeml 1•w erring cons "floods, lace, aM sueanu. <br />Wet aMs Nat ve ciRW with open water can be difficult to Identify Failure to comply may mull consonant or math! ton of <br />connommucto that viola s ttte law or Other petmhies or cwt For more information visit the Department of Normal Remmae uHlauds <br />idenri&inion web page w contact a Oepanmemr of Natund Rwomcea umce crnm. <br />I (omer) dxure that Has application (including Any accompanying drawings and plans) has been enmloed by me, and to the bear <br />of an knowledge and belief it is true, correct and complete. I Acknowledge that I am responsible for the detail And accuracy of all <br />information contained in this application (including any accompanying drawings and plans), And I harbor declare that I recognize <br />that this information provided will be relied upon by Burned Counv in determining wbemer or not to Issue a permit. 1 accept all <br />liability that may be a result of Burnett Counts returns on the information I am providing In this application. 1 acknowledge that 1 <br />will abide by tl1 pns'atelpublic co manm, restrictions, lease& and easements xhich muv apply to this parcel. 1 md" to perms <br />countA oRcials charged wide Administrating twenty ordinances or other •mhorized persons to have access to the abovedewribed <br />premises at any reasonable Bme for the purpose ofmrpetion. <br />...ADDITIONAL COMMENTS FROM OWNER ALLOWED HERE -- <br />OWNER'S SIGNATURE: � AL�4 -I'/ <br />(DATE) <br />Pmteq Ownv is rtquirtJmzign anJ JurerM1iaalgliaa:ian. <br />SUBMIT COMPLETED APPLICATION, MAPS, PLANS AND FEE TO: <br />BURNETT COUNTY ZONING <br />7610 COUNTY ROAD K, 9102 <br />SIREN, WI U972 <br />APPLICATIONS WILL BE ACCEPTED VIA USPS, ANY STANDARD COURIER OR IN PERSON. PARTIALOR RIMMPLETE <br />APPLICATIONS WILL BE RETURNEDTOTHE APPLICANT. NO EMAIL OR FAX APPLICATIONS WILL BE ACCEPTED. <br />ONLY CHECK, MONEY ORDER OR CASH PAYMENT WILL BE ACCPETED. CREDIT OR DEBT CARDS ARE NOT ACCEPTED <br />AT THIS TIME. PLEASE, MAKE CHECK PAYABLE TO: MURNETT WUPHT RONMG <br />Plants call the iDuerte ORitt dyou have auemions. 715-349-2139 <br />Bur Comedy, Wl ordfovoee•nn be found at: hdo://x'x'x'.burncHmunh.mMintlex i.'KID-015 <br />FEES 3 of <br />Burnett County, WI Ladd Use AppBeario s -Rev 03/2010 <br />