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Removal or cumhtg ofvea'snd vegemtima a well as filling antl grading Are regi nal within the Accordance area. BesmclM <br />aMrclwc mw is all area fium the OHWM 10 50 R bone the OHWM 1 dwmd. Contact rise ZM4 (gflke prlar to curling any <br />shorelice Trees and vegemtion. <br />No damages are allowM within any setback. unless specifically pemlinaf. <br />Driveway mum Area widalubeight requirements within 60 days Of Formal issuance date. <br />AcressmySWnutUgauge ramie allow for private residential monge only. NaWkm"ornu farhumamhabimlion. <br />• TOWNNDC PERMITS MAYBE REQUIRED FROM TOWN MUNICIPALITIES. PROPERTVOWNERIS <br />RESPONSIBLE FOR CONTACTING THEIR TOWN FOR MORE INFORMATION. <br />• MIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE. ONE EXTENSION MAYBE GRANTED. <br />You (owner) are responsible fm complying with mate antl federal laws corcemivg Consmxtion near co on wetlands, lakes, and streams. <br />Wetlands Nm are Art associated with open waux curt be difficult In identify. Failure m Comply may result N removal m modification of <br />consignation that violates IM how or other Penalties s. For mom mItion <br />m sit We Derogatory of Natural Rmurta vMt4' <br />la <br />identification web page orCDepartment�a Department of Natural Raomces service Center. <br />I (owner) declare that his Application (including any Accompanying dnwin& and plans) has Even examined by me, and to the hat <br />of my kn twoodge and belief it is true, correct And complete. I Acknowledge that I am responsible for the detail and accuracy of all <br />information contained in This application (including any accompanying drawings and i and I Former declare that I rommuse <br />that this iafncmation pnwiUed will be moul upon by BogeX County in determining whether or not to issue a permit. I accept all <br />luhiliy that may In, a result of Burnett County relylogoo the Information 1 am providing Is this application. I acknowledge that I <br />will Abid, be all pritah0p,m ie on coq restriefissaY leasm and easements which may apply to This parcel I agora' to permit <br />Any officiate vbatyed with administrating fount' oNloaom Or other anlhorleM petwns to have acnes to the ahmodescribed <br />premises at any reasonable time for Ne purlsose of inspection. <br />—ADDITIONAL COta TS FROM OWNER ALLOWED HERE -- <br />OWNER'S SIGNATURES' <br />911 17 <br />(DATE) <br />Fmpeny o,tnn is rulmrtdmdpn enddate this .ppli,' . <br />SUBMff CObIT1.Efm APPLICATION, MAPS, PIANS AND FEE TO: <br />BURNETICOUNTY ZONING <br />7410 COUNTY ROAR K #102 <br />SIREN. WI M872 <br />APPLICATIONS WILL BEACCEPTED VIA USPS, ANY STANDARDCOIIRIER OR M PERSON. PARTW OR INCOMPLETE <br />APPLICATIONS WILL BE RETURNED TO THE APPLICANT. NO EMAI OR FAX APPLICATIONS WBI BE ACCEPTED. <br />ONLYCHECKMONEYOROERORCASHPAY W BEACCPETED. CREDITORDEBff CARDSARENOTACCEPTED <br />ATTHISTIME. PLEASE MAKE CIffLK PAYABLE N: RImN=CnIMTYZ0NMO <br />Please call live Z ping Office high have questionx 715-349-213X <br />BuaNt County, WI ordinances ora he found at: horn://wwwiorae0conar,xon imdes.usP,!NID=4lS <br />Page 3 of <br />Burnett County, W I Land Use Application— Rev 03/2017 <br />