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LAND USE PERMIT APPLICATION --Burnett County, WI a <br /> Applicant Complete All Sections Below This Line ° cnCD r <br /> Permit Types and Fees:(Please,check appropriate boxes) A e, u <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 d °I <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 <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 ' - P. <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 <br /> Filling/Grading $150 Boathouse $500 r- <br /> a <br /> Six Month Camping Unit(One Per Year) $100 Permit Extension(1 Year Extension-Allowed Once) $100 IN <br /> *NOTE:After-the-fact permits(permit aquired after construction has begun)may cost up to three times the normal fee. F. <br /> *Communication Towers&Signs require a different application form;see corresponding application,and fees. ,9 <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. <br /> PropertyOwner's Name:Glenn and Laura Doriott a <br /> Z <br /> Property Owner's Mailing Address: 4724 Mallard Lake Rd Webster WI 54893 g <br /> a. <br /> City State Zip <br /> Property Site Address:6725 County Rd A <br /> Li <br /> Contact's Telephone Number:715-259-3257 <br /> Contact's Email:northland001@centurytel.net . <br /> w <br /> CD <br /> Legal Description of Property:TBD (being subdivided) <br /> 3 39 16 Meenon 1/44 <br /> N `, <br /> Section#: Town#: N Range#: W Town of: °. °° <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* O <br /> Tax ID#(1-5 digit number;found on tax statement):TBD <br /> Proposed Use of Structure/Addition: Storage unit <br /> Anticipated Start Date:Completed (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) 3 K <br /> g Northland Builders Inc NA <br /> x7— <br /> Building Contractor: Sewer Installer: <br /> ,-3 <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 ....t.ANY construction taking place for any dwellings,dwelling additions,manufactured homes,manufactured z <br /> home ad ions,a�y�nkhogses.** <br /> iyi, <br /> uci.,,v N 0A- ,V h� 0 )14130h-from <br /> u <br /> Fee Rec:�C�! <br /> L <br /> E6.A <br /> Check#:�; 7 <br /> r <br /> Date of staff site visit: 011e7(?1 Initi:Is of;te visit staff: z <br /> APPROVED BY LAND SERVICES OFFICIAL: _ �� m <br /> Q [f y <br /> �� �///// DATE: [/��-1 x r <br /> UPON APPROVAL: APPLICA MUST POST COPY OF MI g a' E75 0 <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT ° g <br /> Transcendent: - Page 1 of 4 U f:::3 Q <br /> Laserfische: - Burnett County, WI Land Use Application —Rev 12/2020 gEill <br /> m -- <br /> I <br />