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LAND I'SE PERMIT APPLIC ATIO\-But'uetr(aunty.WI . <br /> Applicant Complete All Sections Below This Line ;; <br /> Permit Types and tees:(Pkosr,tee*appropriate boxes) <br /> Dwr'7.. p1.r.; p., Jc._'r 30 ;%.:11.ot. ru if,+..,'.i.-•'.fDw1 yC" .. C::: :� <br /> C. .3 <br /> u rIc r LJu,.11 1 IL, ... l it �.,. 1 ,._ _ \.1013 <br /> rill ,l t..'S (I.k t 1 ,,::...•^.• C: .��:: l t.. _ ... . I Y .Z <br /> X _ - �? r <br /> 11`• 'k' 1 °.�:,.�. � . _ .,.,1 ,. . N :� <br /> Y <br /> 'NOM Alter•the-felt per mit..laa'r!n t aqui'ed Ater uansL'ua.tiun.141 trtigani may Lust I:a to three times the normal lee. - �� <br /> 'Cta'rrnur,.kltf&Jr.,TuIwm&fool'Num.a diffrm.f u90itut 11,taRrt:sir Livr3 .17'0 ny UrJOLULi'_:r`.14'b7 J'.'. <br /> 1. ..,,:lilt.:ru.r m•i hr!rrutrd a.. ssra>Or.a.'u..� , J. . � r US. �r.u. .,,LvIq.tilt, <br /> propetr Ouner s:+ante:Nick and Amy Vosters ::< <br /> Properry Owner s NIailiug Address 4163 Edden ood Rd Circle P r:e u MN 55014 - V 1 <br /> I:Ir. Store Zip ` — <br /> Property Sae Address "'e Gen pen-;?a Cart>xi h;£<e3C C <br /> Conk:s Telephone::unite:.E51-719-383'5 <br /> come:s Esiail.vosters.nich grrail coir <br /> Legal DescnpnonofPropers: S 150 SE SE LYG E OF YE...LOiA' RIVER EX E 25' r <br /> tectwn=.32 Town>= 41 :R acre_ 1 E' ;' Tonli of S''''''SS <br /> *3!rach add^•c.'!,,pale t naododf,-iontrin df;rrrprron ORarc a,...or or;it deme OR arra:S rax:t:am proper^p,-..ft:' ; <br /> Tai ID=(1-5 digit number.found on tai sui22221 .W <br /> ter�ntl ` <br /> Proposed Use of.trucrtre Addition Stairway/Cir veA'a'' V <br /> Anticipated Star Date 9,_J22- „,. a r. u.vr o-,. rr k :.. — v ,. <br /> Building Contractor.lila Sewer Installer.Cory Jackson Pkimbing �1 <br /> :- t. : N <br /> .---,,;-.. : N <br /> AREA BELOW THIS LLNE FOR LAND SERVICES STAFF COMMENTS-CONDITIONS ONLY <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW.: �^ ; <br /> 7- <br /> "The applicant needs to contact their UDC Inspector to determine f a permit is neededfrom them prior to <br /> _4\T construction taking place for any dwellings,dnvelling additions,manufactured homes,man cntred . <br /> home additions,and bunkhouses." <br /> 0111/5 /s -4`' /7e / a // fA ofC/¢ili-ZZ-/K <br /> 0 (/i'ttn)/#4CCe S S CP t/44 tr /$ 747 f =e£Fe: <br /> Q/�? ��s -7.-- <br /> .. <br /> Chia:= 3t-,31 <br /> Date of staff ate visit: v/ ✓/ C� ZZInitials of site shalt staff: / /, <br /> APPROVED B� LAND SERVIC OFFICIAL: - TE: 9 // e€7 Z2-UPON APPROVAL: APP ICANT MUST POST COPY OF <br /> CD <br /> SIG\ED PERMIT APPLICATION IN PLAIN SIGHT Cr R:1 <br /> Page 1::i '. -.) <br /> (fill <br /> Burnett C ounty.WI Land Use-application-Ret 05:02 = n C7, <br /> 1 Ifil <br /> 1.1J <br />