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LAND USE PERMIT APPLICATION— Burnett County, WI a <br /> Applicant Complete All Sections Below This Line o' c - <br /> Permit Types and Fees:(Please,check appropriate boxes) p o. ' <br /> X Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 d <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 , O <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 '" g <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 ° Q <br /> Filling/Grading $150 Boathouse $500 r 1 <br /> Six Month Camping Unit(One Per Year) $100 Permit Extension(1 Year Extension-Allowed Once) $100 R. <br /> i. <br /> p <br /> *NOTE:After-the-fact permits(permit aquired after construction has begun)may cost up to three times the normal fee. 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. ro <br /> Property Owner's Name:Thomas Heenan z ct <br /> N <br /> Property Owner's Mailing Address: 3457 Kilkare Court Danbury WI 54830 8 <br /> City State Zip -o t <br /> Property Site Address:Treasure Island Road . n <br /> Contact's Telephone Number: 763-234-5698 � < w <br /> -y • a <br /> Contact's Email: loadmaster@me.com <br /> w <br /> rp <br /> Legal Description of Property:Lot 1 CSM Vol. 28 Page 71, #4982. <br /> Section#: 13 Town#:40 N Range#: 15 W Town of:Jackson 0 <br /> 5' w� <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* d <br /> Tax ID#(1-5 digit number;found on tax statement): 35518 F. <br /> Proposed Use of Structure/Addition: Permanent Residence „, <br /> Anticipated Start Date:August 2021 (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) . iv <br /> Building Contractor:Burch Construction/Wausau Homes Sewer Installer: Dan Burch d <br /> -icS,— W <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY kjl <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: D t,j1 <br /> **The applicant needs to contact their UDC Inspector to determine if a permit is needed from them prior to C <br /> ANY construction taking place for any dwellings, dwelling additions,manufactured homes,manufactured Z p -' <br /> home additions,and bunkhouses.** Pc <br /> c ( 5AGCLSree n plc eed 3 beat-4001.5 tier 541V-al-1 a3 <br /> Fee Rec: 7 <br /> Check#: izj / <br /> Date of staff site visit: 6/i LII Initials of s'te visit staff: L d, <br /> APPROVED BY LAND SERVICES OFFICIAL: a DATE: �I <br /> UPON APPROVAL: APPLICAN %./ a <br /> UST POST COPY OF z <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT .: 2 = w (� <br /> Transcendent: - Page 1 of 4 .:0., N <br /> rz <br /> Laserfische: - Burnett County, WI Land Use Application–Rev 12/2020 - a <br /> z <br /> a <br /> LE`7,J <br />