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LAND USE PERMIT APPLICATION—Burnett County,WIro <br /> Applicant Complete All Sections Below This Line 4 <br /> tj <br /> Permit Types and Fees:(Pleas4 dads appropriate bares) i A-s.rZ <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 <br /> Commercial/Industrial Structure $300 , Addition/Alteration to Commercial/Industrial Structure $200 0 <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Atieration to Accessory Structure $150 11 <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 X <br /> Dedc/Stairs/Patio/itetairangWan/Sidewalk Bunkhouse $250 g., t b <br /> X Driveways/&Campground Structures $125 WI State Statute 59.692(ly)Structures $350 ii • <br /> Filling/Grading $150. Boathouse $500 i <br /> Six Month Camping(Jolt(One Per Year) $100 Permit Extension(1Year Extension-Allowed Once) $100 After-the-fad (permit permits marked after construction t begun)may cost up to three times the normal <br /> l fee. <br /> 'Communication Towers&Sign require a different application form;seeaorresponding application,and fees. - <br /> 'Items not listed above wube treated as accessory st rrctures,such as:pergola;,landsarpl etc. d g. <br /> Property Owner's Name: Thomas R.and Cynthia D. Harrington a IP <br /> ni <br /> Property Owner's Mailing Address: 6200 Birchwood Road, Woodbury,MN 55125 <br /> City Property Site Address: 1886 Dubois Road, Webster,WI 54893 State Zip 3 <br /> Contact's Telephone Number: 651-76 663 -1 S.< [ <br /> Contact's Entail: tharr14@centurylink.net i . e <br /> • <br /> Legal Description of Property: Lot 2 g b <br /> Section It: 34 Town#: 40 N Range#: 14 W Town of: Scott <br /> "'Attach additional page rneeded for lengthy description OR attach a copy of the deed OR attach tar system property page.• F <br /> Tax ID#(1-5 digit=umber,found on tax statement): 18811 f i r„ <br /> Proposed Use of Structure/Addition: Deck > W o i <br /> Anticipated Start Date: Oct 2022 (Home/Cabin;Commerdal Business;Bedroom;Deck;etc) >t, v <br /> Building Contractor. Norseman Superior Construction LLC Sewer installer: N/A ( <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY N <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> * 4D <br /> Fee Rec t/ct? <br /> �- a Check#: /Z1 l <br /> Date of staffsite visit: /41/Zo 2-2— Initials of sits visit staff: !VAI /� 1vorSf,N14A <br /> C1 nsir d ln`- <br /> APPROVED BY LAND SERVICES OFFICIAL: DATE: / i/iZoZZ--- 1 <br /> UPON APPROVAL: APPL CANT MUST POST COPY OF E r <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT z W o 0 <br /> Transcendent Nu <br /> Page 1 of 4 • v a. �c- <br /> Laserfische - Burnett County,WI Land Use Application—Rev 1/2019 g g N =' <br /> 1111116 <br /> Please send permit and e11 other paper work to: \ N <br /> N <br /> Beard Lovaas, 715-939-2805 1Norseman Superior Construction LLC, N8751 Island Lake Road,Spooner, WI 54801 <br />