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Removal m culling of mares and "Sooner, in well as filling aM loading are moncted Within Ute comilime un. Regained <br />sbo du:e area is all arta Smoking. Ne OHWM b 50 fl fiom Ih<OHWM leMwmd. Con:azl0:e Zm:ing ORgu p:iorloculdn8 my <br />shoreline Band vowedwifl <br />Noce reelloWedwiONanyuiremets unless <br />in specifically g:mmi,e <br />ual <br />Onvewmy at meet rgegriighl requirements win terdap oaingle oilywn¢dele. <br />Accearory sweturtrgmage pegmia allow fmprivele «aidemul alomge only. NW ro be reared or uud for M1uman M1ab'IaCoo <br />• TOWNNDC 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 (ower) we responsible So complying with stale All federal laws constraints combustion weer or on weda:W, lekee, and umsms. <br />Wetlands that arc not m emiaed wiUt open water trials: difficult to identify. Failure Io comply may remit m:emowl or m ft"lion of <br />construction that violates the law or color modules or events. For more "consensual visit the Department affirmed Rewm us wnlaMs <br />Idemificauon web page mcoamete Oepanment ofNaoual Raourwa senhveoenter. <br />I (air see) declare that this application (Including any accompanying dnwlwgs and plans) has been examined by me, and to the beat <br />or my Wowledge and belief it is true, carrier and complete. I sorer, louse that I am responsible for Me dealt and attorney of u8 <br />Information cootaMed In this application (iotludiog coy accompanying drun'ings and plana), and 1 further declare that 1 recognize <br />that role information provided will W relied upon by Burnett County in determmlo a whether or not to issue a pemle 1 accept go <br />liability that my be a mull of Burnett Congo relying on the Information I am providear in this application. I acknowledge that I <br />wN abide by all privatelpullor cogxmna. restrictions. leases and easements "Fick may apply to ton parcel. 1 a" to permit <br />counts of r charged with edmiohmudng county ordinances or other authorized Panama to hme access to the ahovedaxribetl <br />PnmOm at any reasonable fime for the purpose of Inspection. <br />--ADDITIONAL COM1IMENI3 FROM OWNER ALLOWED HERE— <br />OWNER'S SIGNATURE:' U'JRKY 1 my <br />OrAlLf <br />Empire Done0ms"ted:o sign and Ave mit alglia:ow. <br />SUBMIT COMPLETED APPWCATION, MAPS. PLANS AND FEE TO: <br />BURNEff COUNFY MNMG <br />7410 COUNTY ROAD K, #102 <br />SHOP, WI M872 <br />APPLICATIONS WILL BE ACCEPTED "AMPS, ANY STANDARD COMM OR IN PERSON. PARTW.ORMCOMPLEIE <br />APPLICATIONS WILL BE REMWEDTOTHE APPLICANT. NO EMAIL OR FAX APPLICATIONS WILL BE ACCEPTED. <br />ONLY CHECK, MONEY ORDEROR CASH PAYMENT WILL BE ACCPEIED. CREDIT OR DEBIT CARDS ARE NOTACCEPTFD <br />ATTHIS TIME. PLEASE, MAKE CHECK PAYABLE TO: BlmvcTT COL _ _ 2ONMO <br />Pkae ca111M1clnrtingOPou ifytu Fav<yuetwne. 715-340.2118 <br />Burnett County, Wl ordrmages eau Be found at: h 4/ b M'tl "NlD-15 <br />Page 3 of <br />Burne" County, WI Land Use Application — Has, 03/2017 <br />