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Township: Date: Description: Parcel Number Section-Township-Range Land Owner (Full Name & Submitted by (Full Name & Address & Phone No.)- if other than land owner): STATEMENT RELATING TO TAXES (To be completed by Treasurer’s Office) Taxes Owed : Taxes Checked By: Date: NOTICE TO CUT TIMBER TO DOUGLAS COUNTY CLERK THIS NOTICE EXPIRES DECEMBER 31 EACH YEAR (Read “NOTE” below, regarding 14 day waiting period) IMPORTANT: PARCEL NUMBERS MUST BE INCLUDED ON THIS FORM AT TIME OF SUBMISSION TO COUNTY CLERK, OR WILL NOT BE PROCESSED To County Clerk: Pursuant to Section 26.03 of the Wisconsin Statutes, notice is hereby given that I am going to cut wood products on the following described lands: Check type of cutting and approximate area of cutting: ‘ Logs ‘ Pulp ‘ Christmas Trees ‘ Miscellaneous NOTE: Pursuant to Section 26.03 of the Wisconsin Statutes, no person may harvest or direct the harvesting of any raw forest products from any land until 14 days after this notice is received by the County Clerk. No person may harvest or direct the harvest of any raw forest product from any land for which taxes are delinquent. Submit this form to Douglas County Clerk, Courthouse 101, 1313 Belknap St., Superior WI 54880; Fax [PHONE REDACTED]; or E-mail to [EMAIL REDACTED] Phone: (715)395-1569. Notice of intent to cut timber products as stated above has been filed in the Douglas County Clerk’s Office on County Clerk S:\Forms\County Clerk\TimbercutRevised Dec 2012.wpd