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LAND USE PERMIT APPLICATION -Burnett County, WI 0 <br /> Applicant Complete All Sections Below This Line 5' <br /> Permit Types and Fees:(Please,check appropriate boxes) a <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure .$200 d �hC <br /> Commercial/Industrial Structure $300 ._ Addition/Alteration to Commercial/Industrial Structure $200 CD <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 i <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 C) g <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 <br /> x Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 j <br /> Filling/Grading $150 Boathouse $500 r w <br /> 0 <br /> Six Month Camping Unit(One Per Year) $100 Permit Extension(1 Year Extension-Allowed Once) $100 II <br /> cn <br /> *NOTE:After-the-fact permits(permit aquired after construction has begun)may cost up to three times the normal fee. r6 <br /> *Communication Towers&Signs require a different application form;see corresponding application,and fees. , 11 <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. <br /> I CDProperty Owner's Name: Kathleen J. Mails 0 z <br /> 0 <br /> -n <br /> Property Owner's Mailing Address: 31064 Pine Lane,Danbury,WI.54830 o <br /> v 1 <br /> Property Site Address:31064 Pine Lane, Danbury,WI.54830 1 �„ <br /> i <br /> Contact's Telephone Number:651-270-0012 4 o N <br /> a <br /> a <br /> Contact's Email:MarKatRetreat@Centurytel.net c7 <br /> .. <br /> Legal Description of Property:_PCL Government Lot 2 <br /> N ro <br /> o <br /> Section#: S17 Town#:T41N Range#:R15W Town of: (032)TOWN OF SWISS °O <br /> 5• <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* d <br /> 7 <br /> a <br /> Tax ID#(1-5 digit number; found on tax statement):21382 <br /> ie <br /> Proposed Use of Structure/Addition:Asphalt Drive way and surrounding area "' <br /> o w <br /> Anticipated Start Date:TBD 2021 or 2022 (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) xe <br /> Building Contractor: Monarch/Hopkins? Sewer Installer: '-3 <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: , U) <br /> **The applicant needs to contact their UDC Inspector to determine if a permit is needed fromthem prior to CA` M <br /> ANY construction taking place for any dwellings,dwelling additions,manufactured homes,manufactured z (J' W <br /> homeadditions,nsµa d b k 11 sekb <br /> �G v n ��J x <br /> © U h (d m erv,owS 5 LAI e- 1 ) �-; a?? - ;YO;4 Lo4- <br /> dGsf" b3Sa del 2.?4G <br /> Fee Rec: /425C-1-) <br /> i Check#: 5197rri <br /> �J <br /> Date of staff site visit: 101/ ! I a Initial of s' e visits ,ff: z <br /> 411 A /- ,��_�� '�-�"of <br /> APPROVED BY LAND SERVICES OFFICIAL: fra ,A ' /%/J/ DATE: Iv/ 0?-0 of pzi <br /> < g ^ <br /> KO <br /> UPON APPROVAL: APPLICA "��UST POST COPY OF <br /> tri <br /> g 5- <br /> WO <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT r o o �_ <br /> Transcendent: - Page 1 of 4 a,q o Q <br /> Laserfische: - Burnett County,WI Land Use Application—Rev 12/2020 ri 3fill <br /> a <br /> ro <br />