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ADDITIONAL PROVISIONS <br />Removal mm hes it mrsttwrno r OWMin50 iteame 14VVM threatened! <br />time <br />09 <br />sborclme arcsuallamatrom We OHWM b 50 fl fiom Ne OHWM lantluare. Conus etc ]uoing Offer paimb culdogan> <br />Noeliminate <br />limi tvowed i wished <br />Noovway meet ullowWurchint scmmismunlmin 60 y,al pcnnillW. <br />Driveway meet mist wielh'AeirMmquirtnemewithinid doyen of wperm"uwarrx&b. <br />Amenoayalmnmelg.rngc pamdn allow lw pay.a aeamrn(ul:mmga"is <br />. nabtra.nlr minora mr hnm.n L.Maaaio <br />• TOWNNDC PERMITS MAY BE REQUIRED FROM TOWN MUNICIPALITIES. PROPERTY OWNER IS <br />FRSPONSIBLE MR CONTACTING THEM TOWN FOR MORE INFORMATION. <br />• THIS PERMIT SHALL EXPIRE ONE YEAR FROM DATE OF ISSUANCE, ONE EXTENSION MAYBE GRANTED. <br />You lowers) art reaPmatible fur replying with mile and S eel Tawe worried conalmeYwn rear or on wellaws, lakes, mW Sam=. <br />Wnlmds that are conventional on, open nater man be eilncub maturity Pebum m mmPly continental in removal m nNiFwan-on car <br />carcinoma, that violates As law or met "attics or mels. For mom intimation visit Ne Department of Normal Remumn wetlands <br />identification web page to man a Depanmrnl ofNateral Resources mucro tear. <br />I (owners declare that this application (including any accompanying drawing and plrnr) has been standard by in,, sed to IM but <br />of my knowledge ml WN,f it Is true, carrier and complete. 1 acknowledge that I am rapanslbi, foe the detail had atturp of all <br />Informed,, moltlned in this milkaOon (Including any vme mparryfug dnMng and plural, and 1 further declare that 1 recagnize <br />that this aformmbn provldM will be reeled upon by Burnett County In determining whether or M be Ince a permit 1 vcaPt all <br />IUblllly that may be a malt of Burne, County "batch an the information I am provMbg In this application. I acknowledge That l <br />will abide by IN prmatelpubllc nveaama remictbm, lam and euemena which may apply Is this parcel. I age m Permit <br />counts officials chimed with admininnting coley ordinances or other sut randuad pawns to bnv access to the abovodncribN <br />premises at any mrdembk time for the purpose of Insiummeo. <br />—ADDITIONAL COMMLNTS FR(Mt OWNLR AUUY LDHLRL— <br />OWNRR'S SIGNATOR& <br />(DATE) <br />figeny Over LL rryuiml in can and NN diia epliuli,n. <br />SUBMIT COMPTU-0 APPLICATION. MAPS, PLANS AND FEF. TO: <br />BURPIETTCOUNTYZONING <br />NIOCOUNTYROM&NI E <br />SIREN, WE M872 <br />APPLICATIONS WELL BE ACCFPTIO VIA USPS. ANY STANDARD C'OURDA 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 OR CASE PAYMENT WILL BE ACCPETED. CREDITOR DEBIT CARS ARE NOT ACCEPTED <br />ATTHISTIME. PLEASE. MAKE CHECK PAYABLE TO: BIIRNETTCONUTI'29NIN('. <br />Phase W[t 7] niy OMuifyou N,equ nom 715-345-3138 <br />Burned County, WI entinaun can be found M: Mro'I/www burneucounM1'.coMindeeasm'NIB=JIS <br />Page 3 of 3 <br />Burnett County, WI Land Use Application — Rev 03/2017 <br />