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LAND USE PERMIT APPLICATION — Burnett County, WI a c <br /> b <br /> Applicant Complete All Sections Below This Line E* <br /> Permit Types and Fees:(Please,check appropriate boxes) a. <br /> X Dwelling/Principal Structure I$300 Addition/Alteration to Dwelling/Principal Structure $200 <br /> P <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 Q`\�O <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 `x <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 <br /> _\ <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 O.< <br /> ilb <br /> Filling/Grading $150 Boathouse _$500 r- t* <br /> Six Month Camping Unit(One Per Year) $100 Permit Extension(1Year Extension 0 1�'' <br /> Allowed Once) $100 • <br /> *NOTE:After-the-fact permits(permit aqui red after construction has begun)may cost up to three times the normal fee. = <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. p <br /> p y Jason and Monica Gabrick Z <br /> Property Owner's Name: � Z . <br /> o • <br /> 14 <br /> Property Owner's MailingAddress:4719 S . Lake Sarah Dr . Independence, MN 55359 o a <br /> City State Zip <br /> -� <br /> Property Site Address: 7000 S . Devils Lake Dr . Webster, WI <br /> .. <br /> Contact's Telephone Number: 612) 360-3251 o r' ft <br /> Contact's Email: jason . gabrick@ryancompanies . com c 1 .; <br /> CD <br /> Legal Description of Property: see attached for legal description <br /> Na '- <br /> Section#: 03 Town#: 39 N Range#: 16 W Town of: Me e n o n °q <br /> E' <br /> a <br /> *Attach additional page if needed for lengthy description OR attach a copyofthe deed OR attach tax system property page.* <br /> d <br /> H <br /> Tax ID#(1-5 digit number; found on tax statement): 07-018-2-39-16-03-5 05-003-024000 ' <br /> Proposed Use of Structure/Addition: Move 20'x32' cabin onto property, shift 10'x12'storage shed rn <br /> Anticipated Start Date: 7 . 1 . 21 (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) oo k <br /> Self; cabin is constr.cted :I A, Hopkins installed 2020 ^3 ! ... .. <br /> G <br /> Building Contractor: Sewer Installer: <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <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 z �J <br /> home additions,and bunkhouses.** <br /> tieztall n."04b44-ki- +0 <br /> RAceec( 3 beeS''5 Per <br /> SAN- o•--1513 <br /> Fee Rec:)1J <br /> c Check#: 3g <br /> tri <br /> Date of staff site visit: 1 14 id-1Initials of ite visit staff: 4' , z , <br /> APPROVED BY LAND SERVICES OFFICIAL: i! r/ DATE: 4(a5/?'( 1. itil <br /> 47 gin co 1 <br /> UPON APPROVAL: APPLICANT UST POST COPY OF 5 z 0Itt1 <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT a �' <br /> C n) <br /> Transcendent: Page 1 of 4 " <br /> Laserfische: - Burnett County, WI Land Use Application—Rev 12/2020 1 <br /> tri3 <br /> �o <br />