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LAND USE PERMIT APPLICATION—Burnett County, WI a b <br /> Applicant Complete All Sections Below This Line 1CD I <br /> N <br /> Permit Types and Fees:(Please,check appropriate boxes) G a,t� <br /> c <br /> _ :_,°c.1Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 �, ,�`''1 <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 ; ki <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 '� `e <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 \., <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 N <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 o 0 T-- <br /> Filling/Grading $150 Boathouse $500 g' N n <br /> Six Month Camping Unit(One Per Year) $100 Permit Extension(1Year Extension-Allowed Once) $100 -...' <br /> *NOTE:After-the-fact permits(permit aquired after construction has begun)may cost up to three times the normal fee. ' <br /> a. <br /> *Communication Towers&Signs require a different application form;see corresponding application,and fees. <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. r <br /> p Liz d Lynn Coles i . 0 <br /> Property Owner's Name: any o 1 <br /> Property Owner's Mailing Address: 28520 Kilakre Rd Danbury (Northalnd Builders Inc) a <br /> City State Zip -o <br /> Property Site Address:28898 Kilkare Rd Danbury WI c. <br /> (715-259-3257 Northland) <br /> Contact's Telephone Number: ° c <br /> a. <br /> Contact's Email: northland001 @centurytel.net e <br /> Legal Description of Property: Lot 3 18th green addition to Voyager Village <br /> 0740 14 Scott S cm <br /> Town#: #: N Range#: W Town of: <br /> *Attach additional page i needed or lengthy descri tion OR attach a copyofthe deed OR attach taxsystem propertypage.* <br /> * °0 <br /> PS f f S Y p PB P <br /> y <br /> Tax ID#(1-5 digit number;found on tax statement): 19310 <br /> Proposed Use of Structure/Addition: deck addition q Ic4 <br /> Anticipated Start Date:May (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) C a <br /> Northland Builders Inc NA 7 o <br /> Building Contractor: Sewer Installer: , t � ` <br /> ,s <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY 1 2.s, <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: 0 <br /> **The applicant needs to contact their UDC Inspector to determine if a permit is needed from them prior to <br /> ANY construction taking place for any dwellings,dwelling additions,manufactured homes,manufactured <br /> home additions,and bunkhouses.** PJ <br /> 1 <br /> Fee Rec: <br /> m , <br /> Check#: 3l <br /> Date of staff site visit: ll:/2—I Initi s of site visi taff: t a <br /> A. , <br /> APPROVED BY LAND SERVICES OFFICIAL /�� DATE: /7/ S c <br /> UPON APPROVAL: APPLICA T /T UST POST COPY OF 1 D Ggil <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT I g . liVil <br /> 0 <br /> Transcendent: - Page 1 of 4 0 <br /> Laserfische: - Burnett County, WI Land Use Application—Rev 12/202011 C=I <br />