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ADDITIONAL PROVISIONS <br />Removal in cutting oftren aM vegemtion, uv well as filling aid Ending me restricted Wand Ne sMrtlide We, Restricted <br />darecime mato is all Arco from the OHWM to 50 R (mm the OHWM landward. Contact the Losing Once Poor to crating any <br />deadline pees and vegetation. <br />• No structures are slowed within any most, unless sped! ally prtmmadt <br />I AN, must meet width height Ecquirmisma within SEE dab Ofpurnin 6w don <br />Acreawrysttwnreigange petmiLeallow fmpNVAte Iden-14nnge Duly.Not to be rented or sedfr human habitation. <br />• TOWNNOC PERMITS MAY BE REQUIRED FROM TOWN MUNICIPALITIES. PROPERTY OWNER IS <br />RESPONSIBLE FOR CONTACTING THEIR TOWN FOR MORE INFORMATION, <br />THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE. ONE EXTENSION MAYBE GRANTED. <br />You towner) Are yomibh for wmplying wife stere and seaters moa crommaing construction near or on wrmaMs, lakes, out neons. <br />W n1and thio am WE associated with open water an be difficult to identify. Failure to comply may Each in minewd or mntlificaion of <br />on (bas • ober, the law or DIM penaltiescomas. For rare information visit Ne Department or Natural Resources wNIUW <br />ohnnifimuon web Page or contact a Depentmm of Natural Resomca wvecereduce. <br />I (owner) declare that his application (including any accompanying ill And plana) has been examined by me, and to she heal <br />of my knowledge and belief Is is true, correct nd complete. 1 acknowledge that I Am responsible for she detail antl accuracy of.all <br />Information contained in this appllofnn (including Any accompanying drawings and plans), and 1 further declare that 1 res <br />that this Information avoided will be reseed upon by Burnett County In determining whether or mm to issue o Proom 1 Accept all <br />liability that may be a result of Burnet) County relying an the Information 1 am preidiog In this RpPlicRtlan. 1 Brunei, Niger that l <br />,ill abide by all prodelpublie rovenaots, mackinaw lerses And Eastman" which me) apply to this pared. I agree At permit <br />coumm officials charged with administrating county ordoanees m other authorized Persons to have *"me to the abm'edewribed <br />promises at toy reuwnable Ethic for the purpose of WWeefi00. <br />—ADDITIONAL COMMENTSFROM OWNER ALLOWED HERE— <br />OWNER'S SIGNATIIRE:_J�Ml <br />(DATRI <br />&ninny Own, I, vlmW m and at, this arm,m,n. <br />SUBMIT COMPLETED APPLICATION, MAPS, PLANS AND FEE TO <br />BURNETP COUNTY ZONING <br />7410 COUNTY ROAD K, #103 <br />SIREN, WI 54873 <br />APPLICATIONS BILL BE ACCEPTED VEA USPS, <br />ON. PARTIAL OR INCOMPLETE <br />APPLICATIONS WILL BE RENRNED TO THE AP�SANT. NO EMAU OCOMER. <br />FAX APPLIOR IN CATIONS ML BE ACCEPTED. <br />ONLY CHECK MONEY ORDER OR CASH PAYMENT WILL BE ACCPETED. CREDITOR DEBIT CARDS ARE NOT ACCEPTED <br />AT THIS TIME. PLEASE. MAKE CHECK PAYABLE TO: DURRETT COCrEUY ZONING <br />PknsecoNe] 'ng Onire ifyuu have questions. 715-1,19-3138 <br />Buluen County, Wl ordinances can be found at: 'b Wiudexnpx?NID�15 <br />Page 3 of 3 <br />Burnett County, WI Land Use Application— Rev 03/2010 <br />