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ADDITIONAL PROVISIONS <br />• Removed] recording of trees atW.eeeadonu well as filling and IMint are ricW within We shoreline men. Reported <br />sM Imareauallureafrom Ne OHWMWMRfiomtMOHWMUMwaN. Cunbctlhe l4ning ODice prior to tuning my <br />dominate items and vegetation. <br />No structures are allowed within My Mbxk unless slcifically peo ined. <br />• Driveway must meet width bright uncommMs within 60 days of Permit umame date. <br />• Accessory mmctua/prage panic allow for Forms or,demial smrage only. Not to Fermat or used foe homer baMteRa0. <br />• TOWN/LDC PERMITS MAYBE REQUIRED FROM TOV's MUNICIPALITIES. PROPERTYOWNER 15 <br />RESPONSIBLE FOR CONTACTING THEM TOWN FOR MORE INFORMATION. <br />• THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE ONE EXTENSION MAY BE GRANTED. <br />You (owner) are rapomible fm complying wid, rata and federal law wnceming comparators ram or on wNeM0. Inke4 ami streams. <br />Wetlands that are M auocimM with eFen water can be difficult to identify. Failure to comply may «gull m samovel m modification of <br />construction that violates w m other pmaMm or cwa. For more informationish vthe Department of Natal Retourcn wetlands <br />identification with, page m contact a DepaMant of Nmuml Resources Mmce creta. <br />I (owner) declare that this ppllmlon (including any accompanying drawinp Kind plans) has been respond as me, and to the bast <br />of my knowledge and belief it is true, correct and complete. 1 acl uwledge that 1 am responsible for the detail and accuracy of all <br />Information contained In this application (including any a¢ampanyiug drawings and pians), and I brother declare that 1 recognise <br />that this Information provided will be relied upon by Burner County in determining whether or not to Four a permlL 1 aaept all <br />IlebiRry that may be a result of Burnett County relying on the information i am providing In this application. 1 acknowledge that I <br />will abide by all privalelpublk eovenuotb restriction% leers and easements which may apply to due parcel. 1 agree to permit <br />unD officials charged with admlnlstrutlng county mnemonic or other authorbad persons to have access to the abwndessribed <br />premlus at reamoable time for the purpose of impaction. <br />—ADDITIONAL COMMENTS FROM OWNER ALLOWED HERE— <br />OWNERS SIGNATURE: <br />V mi"y Ow was .' m p iM m sign end me, rbis ryplirui <br />(DATE) <br />SUBMIT COMPLETED APPLICATION, MAPS, PLANS AND FEE TO: <br />BURNETT COUNTY ZONING <br />7410 COUNTY ROAD K, 0103 <br />SIREN, WI 5487E <br />APPLICATIONS WILL BE ACCEPTED VIA USM, ANY STANDARD COURIER OR IN PERSON. PARTIAL OR INCOMPLETE <br />APPLICATIONS WILL BE RETURNED TO THE APPLICANT. NO EMAIL OR FAX APPLICATIONS WILL BE ACCEPTED. <br />ONLY CHECK, MONEY ORDER ORCASH PAYMENT WILL BE ACCPETED. CREDIT OR DEBITCARDS ARE NOT ACCEPTED <br />ATTHISTIME. PLEASE. MAKE CHECK PAYABLE TO: BURNETTCOU1[fY].QMN9 <br />Pkmecalltltel 'nitORceify au vequasriom. 715-M9-3118 <br />Burundi County, WI ordinances can be found at: hsso'/)www purne0auntv.monJindez.asoz". rvlo--0IS <br />Page 3 of <br />Hume" Count), Mill Land Use Application — Rev 03/2017 <br />