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:`l i'►iTil14T A T il1F1!\t 7_IL•I0'1701TCt <br /> -lrtrr r IV,st'%srs, rid tY11j%JI'NL <br /> i-emovai or ctnting of trees and vegetation,as well as filling and grading are restricted within the shoreline area. Restricted <br /> ShoreEme area ie ail area frnm thg C'si-tTi XA to if)fr frnm rhP i ii-i M ianAwnrdi Vfmtnet the i anti%PrvirPc flPnnrtment prim To <br /> cuttine anv shoreline trees and ve¢ctatw1_ <br /> l�v u'iaiwauaa. tii�.iiuvi`iw i`iiwiii�ii�:ia.+axw>•,iui�w.w aj+wiia+uiJ t'���u...•v�.. <br /> • Driveway must meet width/hei�-t requirements within 60 days of�rmit issuance ruts. <br /> L 1V4+\.JJVY�' sua:.t:u:wwag..permits allow for private residential storage wdy. Not to be r•eated or used for human habitation. <br /> T!.i�r►- num-C°Euwwi M tv B;u n 1,a 1n-mv.:'"Yo'";<Tr,+WN-N r�"L 1101PA L-11- W^dER IS <br /> RESPONSIBLE FOR CONTACTING T MM TOWN FOR MORE INFORMATION. # <br /> i ulJ i Wn'siii V NT� r.s-taTr1' ON`"a R FROM ut"A"El Vts•' i.�.Ziiiii'+ia�TL V11L Z. 1�E"i!\��iv>•�ldil��VGIZA''N 11.5.. <br /> �L Z 1l-lAG l/lir�' 1 rktia r <br /> Tu7S APPr iCATION CONSTITiTrES NOTICE TACT ALL LN[PR_OV MENI S ARE SUBJECT TO ACCESS AND/OR <br /> REVIEW BY THE LOCAL MUNICPALITY'S TAX ASSESSOR FOR THE PURPOSE OF TAX ASSESSMENT. <br /> You-(owner) are responsible for complying with state and federal laws concerning construction near or on wetlands,, lakes, and streams. <br /> A%T_ Y....A_ t--* ".i •11L a.,._. t._ .!_ice....i�a� '.!._..ti 2:. L••.a l.._._ 1 fa I .t:" t <br /> VV b11"llub Lual tuc not assco..ta MAX VVAt VpWil YV 111 i.4lt l/l"u111R.W1 W i{1411Y1y. 1"Altu1L W LL112171�llla�l�V..Jltll ill ILL11V Y01 Vi LIZ A"rlCalion of <br /> construction that violates the law or other venalties or costs. For nxwc information visit the Dcoarhment of Natural Resources wettas z <br /> -- ----- - 3-- - - -. -��--=--- '�--- ----- <br /> 1UCl1t111va11on WCU pagv Gl umlaut i!Dcfm"fle tft iYettlmQm 1lCSlltlit:CJ SCY V1Cc VCff i. <br /> .i n'vvtserb des lare this+ +>`3sii r:,s s!reer�a.aJi +•. arrscssesass s.Ara'xilnom aafi"'4-ATW!4%%h •e R by ww anit to the!sect of <br /> _1-..____i"__ ___- `-•" '—_--rr-_"`=--�—�-=^-s._-r �_---r--r�a___..—a- ----r-_____---____ -1 ——_._- •--- -- <br /> my knowledge 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 plans),and i further declare that I recognize <br /> that this information provided will be relied upon by Burnett County in determining whether or not to issue a permit. I accept 2rr- <br /> liability that may be a result of Burnett County relying on the information I am providing in this application. I acknowledge that I <br /> it - -._ <br /> �rii alrule lry all nreratelnunnc rnvrnattis;r7�1r�1w►�tc.;eases oust tasrrneteex,wntcts may atstttr Eo uhim- Erercri, i saner to f>rrtrtrirf ct►uniy <br /> affrcials charged with administrating county ordinances or other authorized persons to have access to the above-described premises <br /> t a..4,rQwgnrs shlr Li sa fttt pssr r ftf.—sr sae_ <br /> - -r--r--- r--`---_ <br /> _A{lr MONA1 CO FROM O u7NER ALLOWED OWED HERE— <br /> OWNER'S SIGNATURE: <br /> 1DA <br /> Property Owner is required to sign and elate this )licaijon. <br /> _j.,bMET C OMP LEI—ED AM At Al ION,MAYS,PLAINS AND FEE Tt): <br /> BURNETT COUNTY LAND SEkvi-_Z- <br /> 7410 C'OtjNTY ROAD K.#12f= <br /> SIREN,Wl 54W2 <br /> APPLICATIONS WILL BE ACCEPTED VIA LISPS,ANY STANDARD COURIER,OR IN PERSON. PARTIAL OR INCOMPLETE <br /> APPLICATIONS WILL BE RE i LMNED 1 V`t 21E AYYLICAN i.NO EMAIL OR FAX At'Yl.tl A t 1t1N5i ILL BE ACC EPI ED. <br /> ONLY CHECK,MONEY ORDER OR CASH PAYMENT WILL BE ACCPETED. CREDIT OR DEBIT CARDS ARE NOT ACCEPTED <br /> AT THIS TIME. PLFAgE;MAKE CtWVK PAYABLE-M BLni:NL.[-1•Ctu T VXSM cFRVtC'VS <br /> Please call the Land Services Department if you have questions. 715-349-2109 <br /> Burnett County,WI ordinances can be found at: <br /> -Page 3 of 4 <br /> V[tTI --! Ity­ '+mo t=--`'_��. Des, 1 Mal <br /> z1 111tr.tt l.Vgrrif� ��1 LBfl4 V 1�.L Yu<tiUVrl—1\4• 1/6Vll <br />