20240472 Ver 1_Site Plan_20240327

1
Proposed
(Plan View)
Lake
(At Full Pond/ Normal Water Level)
(C—rC-1C CC,Cs1 (f 7o 0
Full Pond/ Normal Water Leve�O 00 d �Ci C�wC
lit®
Shoreline 'C'�'G�C�c� a ���? <f77r-
,0 i g-D
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T-XV� fi,LII nd�iv���
Lake
(At full Pond/ Normal Water level) Existing Dock
30 ftx7ft
3ftxl50ft
Below full Pond/ N W L
Full Pona Normal Water Level
t_ s m
rjo,inTe 4 reft x 150 ft
Riprap Above full pond/ NWL
2ft.x110ft.
additional clearing
• if necessary
E AM wp"6'L E
Plan View

Proposed Pap6lw
(Si e View)
rXI54thT
6a.r) P�
ff
J
L
11161,
IL'
La ke z
(At Full Pon / Normal Water Level) c
O
a
LL-
P(, r)d I Ev es

Signature: -400A.-`'
S,e,en Rada,,A Q•7ar 21, 20241354 ECG?;
Email: [e-mail]
AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. • I q PLAN NO. -'' / n PARCEL ID:
STREET ADDRESS: tLf 1e_- k(
Please print:
Property Owner:
Property Owner: D e )r C` i Q & Ct Ct LC
The undersigned, registered property owners of the above noted property, do hereby authorize
I I�C1Ct FfLt�(`5 of �C..I�It �1`�I1
�i�C��r'"�
(Contractor / Agent) (Name of coinsulting 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.
OWNER(S)
Steven Badawi POA for Debra Badawi
Authorized Signature
Date: 2024/03/21
Michel Badawi deceased.steven Badawi for Exector of estate
Authorized Signature
Date: 2024/03/21
AGENT
/ Cull (C
Authorized Signature
Date: �/ •;) ! / �) c{