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LAND USE PERMIT APPLICATION — Burnett County, WI a 2 <br /> Applicant Complete All Sections Below This Line �° ' N <br /> Permit Types and Fees:(Please,check appropriate boxes) !I': NI0 k) <br /> Dwelling/Principal Structure $300 x Addition/Alteration to Dwelling/Principal Structure $200 <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 wp g <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 a �j <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 c <br /> Filling/Grading $150 Boathouse $500 <br /> cn <br /> Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 ?. '0 <br /> lik <br /> ur <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. c 0 a <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. o mk, <br /> a N J%• <br /> Property Owner's Name:Jon and Pam Haugo a 1 <br /> a <br /> Property Owner's Mailing Address: 625 Hwy 105 Northwood IA 50459 <br /> City State Zip < <br /> Property Site Address:6788 Summer Dr Webster WI _ G <br /> CD <br /> Q. <br /> 715-259-3257 (Northland Builders Inc.) 641-590-3062 (Haugo) o <br /> Contact's Telephone Number: , <br /> CD <br /> Contact's Email:northland001@centurytel.net <br /> N -a <br /> o on <br /> Legal Description of Property: Summer Place condo unit#2 0 <br /> 03 39 16 Meenon <br /> Section#: Town#: N Range#: W Town of: N <br /> 5'. O <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):32717 G <br /> Proposed Use of Structure/Addition: Porch ° o <br /> Anticipated Start Date: 1/15/2023 (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) 3 LA <br /> Building Contractor: Northland Builders Inc Sewer Installer: NA (a 4J <br /> (b 'mil <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,mapu actured homes, manufactured <br /> home addition and bunkhouses.*** /mo ke �� �.0 d �, <br /> OCer fi 5�• QQ ,n 11- t ,pre e 1. P <br /> nC kde L . ao <br /> L_ L ,,/k �t rtj ii 1/-�' Fee Rec. <br /> Loc,ti t duk.'n IS d s� '7evr'` Check#:3o'2. 90 <br /> e Gf a 4.410-ate of staff site visit: `� /� Initials o site visit staff.N .f'' J r <br /> z <br /> Q o 6APPROVED BY LAND SERVICES OFFICIAL: DATE: 1/ l I/202 <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF E4, TT m <br /> n <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT o r a i N <br /> -Et 0 c N C <br /> Page 1of5 n N C <br /> Burnett County, WI Land Use Application—Rev 05/2022 < m G� <br /> m <br /> a <br /> 4 <br /> b <br />