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ADDITIONAL PROVISIONS <br />• Formed or cutting cruces and vegaroim, me well a filling gMingm mmic wiWnshe sMrclirc gree. Raaic <br />shorelinearaeisallaraefromthe OHWMm50RhomtFOHWMImdw .Comp Ne bating OHsprion0 coving my <br />shoreline vees am vegan ion. <br />• No structures are allowed within my Aback unless Neeificely permiaN. <br />Emotions must meet widthm igM requirements within 60 days of permit issue... dare. <br />• Axeswrysvunure/gange pemti6 tllow kr 0^van midentul nonge only. Not toberentOoru forhumen NbiUtion. <br />TOWN/UDC PERMITS MAYBE REQUIRED FROM TOWN MLNICIPAIAH ITS, PROPERTYOWNERIS <br />• RESPONSIBLE FOR CONTACTING THEIR TOWN FOR MORE INFORM%TON. <br />THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE. ONE EXTENSION MAYBE GRANTED. <br />You (owner) ere mpunsi is for complying with some and fblenl laws concerning Construction ,tau m on wetlands. Will. and shams. <br />Wet able that an ren aswcismd with open enter can be difficult o identify. Failure m comply may rewb in semi or modifimien of <br />vett citta violaks the law rc otM penehies or vests. <br />For mare micumYion visit the Oerynmml ofNatural Resumes welWds <br />idemificmmn web Me or contact a December erosional Resources service arn¢r. <br />I (owner) declare that this application Iineluding any accompanying dawimas and plane) has bran comined by me. and to the beat <br />of my knowledge and bi it is truce Correct and romplee. I ackri that I am Normsible foe the dent( and accuracy of all <br />infamutbn command In this applianion(tow n6 any .... mpanying decisions and pears). and I furter declare that lmvgniee <br />that this information trammed will be rellad upon by Burnett County in determining worry, or not to issue a perml4 1 accept all <br />Fair that may he vaull of Burnett County relying on the Information 1 am pressing In this applicants. I acknowledge that 1 <br />will aAtle by all privatdpublle mvetmnm. ratrkYlams, team and easements ehieh may apply to this "Met 1 Sam to perm(( <br />only officials changed wHh adminEtreting county ordimenm or other muthormsed Parana to have adds to the ahmedetedi <br />prenism at any Losonvbk lime for the Nry oflmspenimi. <br />—ADDITIONAL COMMENTS FROM OWNER ALLOWED HERE— <br />OWNER'SSIGNATU �q <br />D ) <br />Pmpep Oxne, is rtquiMmsign vd NV Nis e{gliWgn. <br />SUBMIT COMPLETED APPLICATION. MAPS, PLANS AND FEE TO: <br />BURNETTCOUNTYZONING <br />AIOCO LINTY ROAD K. #102 <br />SIREN, WI 54872 <br />APPLICATIONS WILL BE ACCEPTED VIA USPS, ANY STANDARD COURIER OR IN PERSON. PARTIAL OR INCOMPLETE <br />APPLICATIONS WILL BE RETURNED TO THE APPUCANC NO EMAIL OR FAX APPLICATIONS WILL BE ACCEPTED. <br />ONLY CNECK. MONEY ORDER OR CASH PAYMENT WILL BE ACCPETE6 CREDIT OR DEBIT CARDS ARE NOT ACCEPTED <br />AT THIS TIME. PLEASE, MAKE CHECK PAYABLE TO: BNtNETT COUNTY ZONING <br />Plem yell thebning OH,rc ifyou Mve qm lx & 715-3442136 <br />Burnett County, WI artlioaoaa can be bund al: hleD'/Mnw'.burnetteounti.coin/inde"snx?NlR 15 <br />Page 3 of <br />Bunten County, WI Land U50 Applin ion—Rev MAN17 <br />