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LAND USE PERMIT APPLICATION — Burnett County, WI r <br /> Applicant Complete All Sections Below This Line o "-D <br /> Permit Types and Fees:(Please,check appropriate boxes) Q. <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 d <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 <br /> X Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 ,1� i <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 ' <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(ly)Structures $350 ° <br /> Filling/Grading $150 Boathouse $500 rG) - .'1 L 3 kL "-: <br /> Six Month Camping Unit(One Per Year)) $100 Permit Extension(1 Year Extension-Allowed Once) $100 <br /> Co r <br /> *NOTE:After-the-fact permits(permit aquired 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. <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. <br /> KerryMoberg . <br /> Property Owner's Name: o l <br /> Property Owner's Mailing Address: 4695 Setting Sun Trailway, Danbury, Wi 54830 0 k` <br /> City State Zip b <br /> Property Site Address:4695 Setting Sun Trailway, Danbury, Wi 54830 , <br /> 4 10 <br /> Contact's Telephone Number:612-202-8825 o F <br /> k'mober hotmail.com <br /> Contact's Email: g� d <br /> AD <br /> CD <br /> Legal Description of Property:Setting Sun Addition at Voyager Village <br /> N 'o <br /> Section#: Town#: N Range#: W Town of:Jackson at, <br /> 5 <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* <br /> d <br /> Tax ID#(1-5 digit number; found on tax statement):8172 g <br /> Proposed Use of Structure/Addition: Detached Shed-Residential vs <br /> 5/1/2023o <br /> Anticipated Start Date: (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) <br /> Building Contractor: Northland Buildings Sewer Installer: N/A p d <br /> -3 11% <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: X <br /> **The applicant needs to contact their UDC Inspector to determine if a permit is needed from them prior to G k <br /> ANY construction taking place for any dwellings,dwelling additions,manufactured homes,manufactured z <br /> home additions,and bunkho ses.** x <br /> D/Yl ee4- all 5e'1'ba 1 t '— <br /> -n4c. -knk Id l}s+ be ieriei w44 loci( <br /> x Fee Rec: / Q <br /> rA <br /> Check#: <br /> rz <br /> Date of staff site visit: LI) 13/23 Initials i f site vis' staff: il z <br /> d LJ <br /> APPROVED BY LAND SERVICES OFFICIAL: DATE: /10 3 < °' <br /> ITH <br /> , � D <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF y I���,1 <br /> a>= o [lull <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT <br /> °zr oo r o <br /> .< v 3 C <br /> Transcendent: - Page 1 of 4 ' w <br /> Laserfische: - Burnett County, WI Land Use Application—Rev 12/2020 <br /> 2. <br /> L� )J d <br /> r4 <br /> a <br /> b <br />