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LAND USE PERMIT APPLICATION —Burnett County, WI ro <br /> Applicant Complete All Sections Below This Line <br /> Permit Types and Fees:(Please,check appropriate boxes) a. <br /> 1.-, t7 <br /> vwrri ITIVT-1 WV'Jag:trotttitt $306 P UUI LIUiit nnei a tiriri it,uwen i=15/1-iiitipat Sit mitae - $zw <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 `-i..„ 304 <br /> X Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 rD <br /> b•--"Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 o <br /> 1H-fling/bracing 1$150 i 1Boathouse i S-500 r; <br /> Six Month Camping Unit(One Per Year) $100 Permit Extension(1 Year Extension-Allowed Once) $100 <br /> o <br /> cii <br /> *NOTE:After-the-fact permits(permit aquired after construction has begun)may cost up to three times the normal fee. o <br /> Fs <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. -o ' <br /> Property owner's Name:Justin 1Vi Greiner 9 z <br /> O r' <br /> Property Owner's Mailing Address: 16028 Ironstone St NW Ramsey MN 55303 g <br /> o. <br /> City State Zip <br /> Property Site Address: 14088 Bistram Rd Granstburg, WI 54840 I6. <br /> n.1 n rnn nnnn k <br /> Contact's Telephone Number:6 t 2 .766-3296 = c <br /> Contact's Email:jUstin.greiner@gmail.com <br /> d <br /> m <br /> Legal Description of Property:Sec 27 Tn 39 Rg 19 LOT 2 CSM#4847 V27 P101 (SE SW)#455132 <br /> Section#: 27 Town#: 39 N Ranine#: 19 W Town of: West Marshland °c i° <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* C <br /> 41 <br /> Tax ID#(I-5 digit number;found on tax statement):35137 <br /> Proposed Use of Structure/Addition: Shed 3Z ' <br /> Anticipated Start Date: 05/27/22(asap) (Home/Cabin;Commercial Business;Bedroom;Deck;etc) f x <br /> Building Contractor: n/a Sewer Installer: n/a <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY h.' kh <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 b W <br /> ANY construction taking place for any dwellins.dwellinis additions.manufactured homes,manufactured z <br /> home additions,and bunkhouses.** P ;. <br /> P al MA- �a.(l hn <br /> 0 I A" 4 4 k41 :' <br /> R Fee Rec: .JCS <br /> Check#: /(38- <br /> Date of staff site visit: 61a( a d' Initials of ite vis' st. ~ <br /> ?� � ' <br /> APPi?l1VFTl RV T ANII SERVICES lIFFTrTAT • DATES J ??' ��l <br /> UPON APPROVAL: APPLICAN UST POST COPY OF i IrEl' <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT ' ala t3 RR] <br /> ;• von cs+ o <br /> aria: a': - ANbc 1 of d - 1 <br /> Burnett County,WI Land Use Application—Rev 12/2020 2 <br /> Laserfische: - [fa <br /> o a <br /> a U.:=:::::. <br /> 5 <br />