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ADDITIONAL PROVISIONS <br />Renavilorcamingof4ar and vegeuf as well as filling" gMinga:eresulted! within Ile awrtlite am. Restricted <br />shortliHe em ie all am from the OHWM b 50 fl fom the OHW M Ica wuM. Commat, Zoning Office pnorbcuningany <br />arorelme !mea aro remlmion. <br />• No muclmes art aliowal within any sNGck, maw specifcally permitted <br />• Driveway meet meet width/height rdryiremeMr within W days of merge issuers deet. <br />• Aacwry Wusure/gmp petmiLL allow for prose rnidemial include Holy. Nmmtrran Mornaen <br />• TOWN/UDC PERMITS MAYBE REQUIRED FROM TOWN MUNICIPALITIES PROPERTYOWNERIS <br />RESPONSIBLE MR CONTACTING THEIR TOWN FOR MORE INFORMATION. <br />• THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANC. ONE EXTENSION MAYBE GRANTED. <br />Yen (ower) ase mpnsible for complying with came and hdeml laws eerceming camwnim, mar or on wetlands, tikes, eM stmms. <br />Wetlands tbm are m test oW coir opn water m be diflicuitm i4nlify. Failure O amply may Hear in removal or modifslion of <br />¢n ion IMI violins the law or office Penalties or cmu. For meet inkrmmnn visit as Oepulmem of Natural Resumes wnbnds <br />ideal Gwllon web page or consist a Oepmonmi of Natural Resources service center. <br />I(owner) Motor that the appllvalion(IMID1g Any accompanying drawings ad plane)has been Bummed by me. and to the til <br />of my knowledge and WHO it a true, correct And complete. 1 acknowledge Iden 1 am mopi for the Mail and accuracy of All <br />Infov twa anlained In this epplidten (including any accompanying dnwings and phnq And I!endear Herbert that mongtt <br />that ink information provided will be re11M upm by Burnett County in rearranging whether or Hot to Ime A pemrit. 1 Accept all <br />fill that may he R result or Burnett County relying Hn Ince infommdon 1 Am providing in this AppllMen. I ackmowledge that I <br />will RMtle by all ptivam/Pub a certainly, resnNbn; Items And casements which may apply to this parcel. I agree W Permit <br />only HMciAls enc owd! with administrating county Mimmes Hr other ambatiom real to have Bane to the alm,"Herlbed <br />Premises At reasonable time for the purpose of impnlon. <br />ADDITIONAL COMMENTS MGM OWNER ALLOWED HERE— <br />OWNERTS SIGNATURE: Io..jQj <br />Pmpcny Oxnvr is ",,,d m sign Am dew els WHIZ, (DATE) <br />SUBMIT COMPLETED APPLICATION, MAPS. PLANS AND FEE TO: <br />BURNETT COUNTY ZONING <br />74iOCOU ROM410 <br />SIREN,WI 5487! <br />APPLICATIONS WILL BE ACCEPTED VIA CAPE. ANY STANDARD COURIER OR IN PERSON. PARTIAL OR WCOMPLETE <br />APPLICATIONS WILL BE RETURNED TO THE APPLICANT. NO EMAIL OR FAX APPLICATIONS WILL BE ACCEPTED. <br />ONLY CHECK, MONEY ORDER OR CASH PAYMENT WILL BE ACCPETED. CREDIT OR DEBIT CARDS ABU NOT ACCEPTED <br />ATTHISTIME. PLEABE, MAKE CHECK PAYABLE TO: BIRNEIT�� <br />Pleat cal the Zoning Once! Tyco dem quolime, 115-3442138 <br />Bn..eu cmunry, wlHmimaoaa nH be mune M: rot rr n W <br />Page 3 of 3 <br />Rurpen County, WI Land Vae Application —Rev 03R0I7 <br />