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IJULU. IyI I CI IVCIUI.JC ILJ.U I L.t%OLJDJ-UMV LJ-4 I I J-/1L/1/-DL/DUCJOU4 I LJD <br /> LAND USE PERMIT APPLICATION — Burnett County, WI b r. <br /> tJ <br /> Applicant Complete All Sections Below This Line ° N <br /> a. <br /> Permit Types and Fees:(Please,check appropriate boxes) <br /> C7 <br /> X Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 o rf\- <br /> O <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 <br /> \ <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 rD <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 h,�` <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 $. h, —A <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(ly)Structures $350 o N <br /> Filling/Grading $150 Boathouse $500 ►. <br /> Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 (�_ a <br /> lU <br /> *NOTE:After-the-fact permits(permit aqui red after construction has begun)may cost up to three times the normal fee. (�^ <br /> *Communication Towers&Signs require a different application form;see corresponding application,and fees. o g, <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. Z <br /> Property Owner's Name: Timothy Smith n. <br /> F. <br /> Property Owner's Mailing Address: 6372 16th Ave NW Rochester MN 55901 Ul <br /> City State Zip <br /> Property Site Address:29890 Cranberry Lake Drive Danbury WI 54830 G <br /> s a. <br /> Contact's Telephone Number: Mike, Derrick Homes 715-246-2320 P" d <br /> c <br /> Contact's Email: Tim: timoncranberryftmail.com mderrick@derrickbuilt.com N <br /> o <br /> Legal Description of Property: Government Lot 2 ' ....A <br /> e <br /> Section#: 35 Town#: 41 N Range#: 16 W Town of: Swiss <br /> n <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): 22346 u1 0 <br /> Proposed Use of Structure/Addition: Single family residence J\ 'g d <br /> Anticipated Start Date: Fall/Winter 2022 (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) "1 , <br /> Building Contractor: Derrick Homes, New Richmond Sewer Installer: Existing system --t 4.) <br /> v <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <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 bunkho es.* <br /> Lic. <br /> l- '.0 <br /> I ' ` in �Ce eci 3 lij r,e015 pec 544 -30. 5Fee _ <br /> (rP�OQn fed�'1�-I-- r �' pelet �� el ("d4. or 0/1IZ,5 Check e#: 516;c <br /> y�tick. f}o rlcs <br /> Date of staff site visit: 2'0' Initials of site visit staff: /L. i (rl / r <br /> a <br /> APPROVED BY LAND SERVICES OFFICIAL:5C / i. / DATE:)(/7/?0Z <br /> UPON APPROVAL: APPLICAN ' UST POST COPY OF zON <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT <br /> o? w <br /> Pagelof5 .- ,NJ Q <br /> Burnett County, WI Land Use Application —Rev 05/2022 • g ry <br /> : a <br />