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DNR Permit
For the best sketching experience, rotate your phone sideways (landscape mode).
Applicant's Name (First, MI, Last)
Day Time Phone Number
Cell Phone Number
Lake Home Address (# and Street, RFD, Box #, City, State, Zip Code)
Lake Residence Phone Number
Permanent Mailing Address (Indicate if it is the same as above)
E-mail Address
Size of Area Proposed to be Treated:
My property extends ft along shore. Proposed treatment area extends ft along shore by ft lakeward, out to a depth of ft and ft in width extending to open water.
You can draw or upload your own sketch below, or check the box if you’d like ACS to complete the sketch for you.
Include a north arrow, house location, shoreline, the treatment dimensions, the location of the dock, and the distance between the dock and the nearest adjacent property boundary or identifiable landmark.
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Draw Sketch Online (optional) Click here to draw
Please have ACS complete my sketch for me.
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Date
Signature
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