20231377 Ver 1_Site Plan_20231010

Proposed
(Plan View)
Lake
(At Full Pond/ Normal Water Level)
Full Pond/ Normal Water Level
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Shoreline
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-pity (5)eiLn)
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1101 x-1
Lake
(At N If P—d/N.na[Water Lewf)
Existing Dock
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WOW full pond/ AWL
Full Pon
Water veal
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am
rNoormal
Jftor2line
Riprap
x. 4 ft a lso ft
ne.- full pond/ NWL
2 ft. z 190 ft.
additional clearing
if necessary
'AMPLE
Plan View m

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SAMPLE AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. PLAN NO. PARCEL ID:
STREET ADDRESS:
Please print:
Property Owner: . ..... JU h2 E�A Sb-uft,
Property Owner:
The undersigned, registered property owners of the above rioted property, do hereby authorize
Of Vq
(Contractor / Agent) (Name of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit or certification and any and all standard and special conditions attached.
Property Owner's Address (If different than property above):
Telephone:
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
Authorize&%g'nature
Date: (P 11 4iff?-Z'
Authorized Signature
Date: