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• <br /> LAND USE PERMIT APPLICATION — Burnett County, WI a <br /> Applicant Complete All Sections Below This Line w <br /> Permit Types and Fees:(Please,check appropriate boxes) d <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 g pJ <br /> Commercial/Industrial Structure ira6 $300 Addition/Alteration to Commercial/Industrial Structure $200 PJ o <br /> t<Accessory Structure(Garage,Shed,etc.)L) mu— Addition/Alteration to Accessory Structure $150CD <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 n v ` <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 c4 <br /> w <br /> Permit Extension(1 Year Extension-Allowed Once) $100 <br /> *NOTE:After-the-fact permits(permit aquired after construction has begun)may cost up to three times the normal fee. <br /> *Communication Towers&Signs require a different application form;see corresponding application,and fees. �' 7 ,• <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. c.o -•: <br /> .11 <br /> Property Owner's Name: V`Ct- e- Pro eI LLC.. 0 l` <br /> Property Owner's Mailing Address: 1 P I 1110) k0J C'eyykeNd I e VV)AJ 5$l3-( <br /> 1 - - City State Zip < <br /> Property Site Address: 00.,./1+1Are_ WQ <br /> Contact's Telephone Number: 16 z - a•?7 -09.6 d <br /> a; <br /> Contact's Email: on(i-r i l'1M1f,.,Golf <br /> o °Q <br /> Legal Description of Property: 1414.3 C S m s O S ma P a57 R•Lorov.K 'I ioo,i t7 <br /> Section#: t% Town#: y I N Range#: I(eW Town of: 5 4„`s g, <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* <br /> Tax ID#(1-5 digit number;found on tax statement): 3 5 X3 <br /> Proposed Use of Structure/Addition: rot P $ e , <br /> Anticipated Start Date: itch (Home abin;Commercial Business;Bedroom;Deck;etc.) <br /> Building Contractor: Alta- Sewer Installer: 4/// , V 51 <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: z <br /> z <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.** <br /> tt ill 5e-b h(' - -�, �Q / <br /> /hall 5I� ort ftc r ✓i loT f be (4 be�:� J "� 75 1- 5ek 4�1 <br /> 5 �I b 6�l!'�-�- o <br /> ,......____ <br /> in <br /> Date of staff site visit: 9--/q 1?-2- Initials of site visit staff; f IL a Fee Recd •:9" <br /> CIY-eu ti /- . . Chec .c...1 <br /> APPROVED BY LAND SERVICES OFFICIAL: DATE: ��l I �� <br /> w M <br /> UPON APPROVAL: APPLICA . MUST POST COPY OF z co m <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT � o o .� <br /> Pagelof5 • c• N <br /> Burnett County, WI Land Use Application—Rev 12/2021 <br />