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DocuSign Envelope ID:ABC9B742-D062-46B4-9E50-A02228025E60 <br /> LAND USE PERMIT APPLICATION -Burnett County, WI a g <br /> E.' N <br /> Applicant Complete All Sections Below This Line g N <br /> CD Permit Types and Fees:(Please,check appropriate boxes) d -,k <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 c6 <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 g <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 lb <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 ° ■ <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 0 13 c <br /> Filling/Grading $150 Boathouse $500 .. A <br /> v) <br /> x Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 a. <br /> w <br /> *NOTE:After-the-fact permits(permit aqui red after construction has begun)may cost up to three times the normal fee. CD <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. oZ • <br /> T1 <br /> Property Owner's Name: Michael Ehret a <br /> b <br /> Property Owner's Mailing Address: 1264 Energy Lane, St Paul, MN 55108 5 <br /> City State Zip r- C <br /> Property Site Address: 21801 White Pine Trail, Frederic, WI 54837 P. <br /> a. <br /> Contact's Telephone Number:651-842-9404 a. <br /> colin.buechel allener .. <br /> Contact s Email: 9Ysolar.com <br /> N b <br /> 0 r <br /> 0 <br /> Legal Description of Property: LOT 15 PLAT OF WHISPERING PINES OF SPIRIT LAKE o <br /> 12 37 18 Trade Lake 7 <br /> Section#: Town#: N Range#: W Town of: q <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* <br /> rn <br /> "f:::: <br /> Tax ID#(1-5 digit number; found on tax statement):33315 o k <br /> Proposed Use of Structure/Addition: Residential - Offset electricity usage ,-3W 3\ lA, <br /> Anticipated Start Date: (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) " <br /> Building Contractor:All Energy Solar Sewer Installer: tyJ <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY / <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: z 1 <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 bunkhoues.**/i <br /> ite4 cd( 5e. <br /> 4,6, <br /> KA" wh.e✓'Q- 5 l i'L ( :it e 5 a IO ccice CEJ ekti/Q l',41 o✓Ir? 1,✓e Fee Rec:?/5-0 00 <br /> U Check#: 3/ 03.P <br /> �f //(pl/ L e all C"4-til Soka-t <br /> Date of staff site visit: ! k? Initials of ite visi st.ff: r <br /> APPROVED BY LAND SERVICES OFFICIAL: / / DATE: -7/11/4).- '! <br /> r <br /> ra <br /> UPON APPROVAL: APPLICAN MUST POST COPY OF �' . 6 `' <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT NMr <br /> �Op 6 <br /> Page 1 of 5 <". <br /> Burnett County,WI Land Use Application—Rev 05/2022 g <br />