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r <br /> LAND USE PERMIT APPLICATION — Burnett County, WI a ii <br /> ro <br /> Applicant Complete All Sections Below This Line $ N <br /> Permit Types and Fees:(Please,check appropriate boxes) d <br /> V Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 04 o <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 4 „ <br /> Accessory Structure(Commercial/Industrial) $200 J.Addition/Alteration to Bunkhouse $150: , <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse m 152501 11 <. I <br /> Driveways/&Campground Structures $125 WI; State Statute 59.692(1v)Structures )$350 1 II �' !� <br /> =_.... ..... ... .... ...... .... ..... : .::. <br /> . VI <br /> I <br /> Ty„t'� airs - �Ih+n1; N-DAw\ •1- y Ir" �,S}rowm __ �.., <br /> �_ C yl l O <br /> Adr�s5. : 333q( �o� . U�'tw.ns rJ GpAr,YS _ _ j <br /> crop L}.►,. .Mi.;tier _ L <br /> C1 Sok 24- - <br /> a G.rnts�ur vi... -c9 4o <br /> Contact's Telephone Number: GS I" 3 Gg-S lc( I = <br /> i, <br /> Contact's Email: Q.11b i S i•r6.M I.& tl-Ma (.�y,.� V o: UQ u1 <br /> O o <br /> Legal Description of Property: M)rt. 61 30 Feed• 01- 4-Lt S l,/ Glv�Ivr— o F 1� Ski Gvarltr- °O <br /> a d <br /> Section#: 31 Town#: 37 N Range#: I O W Town of: Trade_ 4,0,k2 g. <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* <br /> in <br /> Tax ID#(1-5 digit number; found on tax statement):ay 0.+1 ( .o .e4ci rmn4?? <br /> Proposed Use of Structure/Addition: glome b <br /> Anticipated Start Date: y-1- (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) k..) <br /> Building Contractor: OM--G.u1 CoAS4.ucltar. Sewer Installer: NA•i,trins $oi( k , d- 'kt_ <br /> Sys/4.5 <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY / <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: z V <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 /> ome additions,arbunkhouses.**e h .^ JG M- (` bwe5 egos, <br /> ra <br /> di <br /> p vie }, ed o-�- ► 5 lY�a,"' <br /> ie /Ybei-- <br /> sivisit: <br /> of staffp.,�,ell•• ii - ex/teec 4 beJ s Per' 54A1 - 2•� -11o <br /> rte- Fee Rec: <br /> 1?" Initials of site visit staf • • y ��= <br /> ��/ 2.?-. <br /> � v Check#: hNi <br /> APPROVED BY LAND SERVICES OFFICIAL: Ck� j: , /-'- DATE: 3/ <br /> UPON APPROVAL: APPLICANT -BUST POST COPY OFimliN <br /> . a T, <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT - V <br /> Pagelof5 = Ag N. <br /> Burnett County, WI Land Use Application—Rev 12/2021 ..1 S Q <br /> rn: <br /> { <br /> ��iJ, <br />