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. <br /> LAND USE PERMIT APPLICATION — Burnett County, WIcr <br /> Applicant Complete All Sections Below This Line 5. CD N <br /> Permit Types and Fees:(Please,check appropriate boxes) .. ., <br /> d <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 —Z— <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 \ C <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 1 <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 ,- —g,.`---'';'' <br /> C) <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 o <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 o 0 Y' <br /> Filling/Grading $150 Boathouse $500 <br /> Solar Panels (Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 <br /> 3 <br /> *NOTE:After-the-fact permits(permit aqui red after construction has begun)may cost up to three times the normal fee. r <br /> *Communication Towers&Signs require a different application form;see corresponding application,and fees. o . <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. z <br /> -71 <br /> Property Owner's Name: Larry F German a <br /> Property Owner's Mailing Address: 9101 Barrington Terrace Brooklyn Park, MN 55443 '' <br /> City a State Zip <br /> � <br /> Property Site Address: XXX Johnson Road 7503 0-0.44504 Ca cam_ o F, t <br /> CD <br /> CL <br /> Contact's Telephone Number: 763-424-4055 0 <br /> CD <br /> Contact's Email: Igmoph@comcast.net <br /> N -u <br /> 2 00 <br /> Legal Description of Property: NE NE W OF RY RT OF WAY 67, <br /> Section#NENES20rown#: 40N N Range#: R16 W Town of: Oakland <br /> s <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* <br /> Tax ID#(1-5 digit number; found on tax statement): 13427 ,7 x <br /> Proposed Use of Structure/Addition: Storage Shed o <br /> '1'63 <br /> Anticipated Start Date: June 13th (Home/Cabin:Commercial Business;Bedroom:Deck:etc.) H <br /> C::% <br /> JanSsen's Webster, WI None Storage Shed only -G <br /> Building Contractor: Sewer Installer: <br /> American Steel Building <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY '.....4 <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: z <br /> **The applicant needs to contact their UDC Inspector to determine if a permit is needed from them prior to <br /> ANY construction taking place for any dwellings,dwelling additions,manufactured homes,manufactured <br /> home additions,and bunkhouses.** <br /> I vrtee4-- al( se 4. s <br /> Nd,4_ ki <br /> ! 11,01 .4 vbt, 4)0, ,� <br /> rr Fee Rec: �5d <br /> 3 Gunfe i /'3i'.$+ be 4v. Co/1 ibi 4 4 0. h 411i►'►-e S QD/ rfctfiL( Check#:.59_Y5— <br /> Date <br /> Date of staff site visit: 6/I ii/2--? Initials of site vis sta : d <br /> / a <br /> / <br /> z <br /> qa. / <br /> DATE: <br /> G�istaaj <br /> APPROVED BY LAND SERVICES OFFICIAL: / m <br /> F: Ifiii <br /> UPON APPROVAL: APPLICAN UST POST COPY OF a <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT1 o ff11 <br /> z 4! <br /> o-< C o O <br /> Pagelof5 x co Q <br /> Burnett County, WI Land Use Application —Rev 05/2022 < ct <br /> o <br /> �� <br /> 4 <br /> ti <br />