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FIREWOOD PERMIT APPENDIX L-I Receipt # Date: WOOD PERMIT 61101.4491 THIS PERMIT MUST BE CLEARLY DISPLAYED IN VEHICLE WINDOW WHEN COLLECTING AND TRANSPORTING WOOD. Douglas County Forestry Department holds the right to cancel this permit for any valid reason. Violation of this permit will subject the applicant to a fine or imprisonment as contained in Section VIII of Douglas County Forest Ordinance and pursuant to Wisconsin Statutes 26.06 and 26.09. THIS PERMIT IS NOT TRANSFERABLE Douglas County Forestry Department, through its authorized agent, hereby gives permission to: Name Address To pick up, a maximum of 10 cords of wood, in the form of DOWN, TREES AND LOGGING RESIDUE ONLY located on County Forest or closed timber sale # Section T R OF for his own use and not for resale. THIS PERMIT EXPIRES ON DECEMBER 31, 2007 Permits may be issued, however, they are not valid and firewood may not be gathered during the spring road weight bans, which are usually posted March15th through May 15th of each year. Please call the Forestry Department at [PHONE REDACTED], if you have questions. DOUGLAS COUNTY FORESTRY DEPT. APPLICANT PLEASE READ REVERSE SIDE FOR RESPONSIBILITIES OF PERMIT HOLDER THIS PERMIT SERVES AS YOUR RECEIPT RESPONSIBILITIES OF PERMIT HOLDER ¾ No standing trees will be cut or damaged unless so indicated in this permit. ¾ No cut products from a commercial timber sale will be taken except as indicated on reverse. ¾ The permittee will not interfere with any commercial timber harvest that may be in the area. ¾ Permit holder assumes responsibility to cut in designated area only. ¾ No blocking of roads while gathering firewood. ¾ No rutting of existing roads or resource damage. ¾ All motorized vehicles are restricted to designated road / trail system. ¾ Only one firewood permit will be issued per family per year. ¾ Permit holder must be present while firewood is being gathered. ¾ It is further understood by the signed applicant that they assume all responsibility for their own protection and agree not to hold Douglas County responsible for any accidents or injuries that may happen to themselves or others in their company, and that they will hold Douglas County harmless from any and all suits or claims for damages to personal property which may arise from said removal of wood.