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LAND USE PERMIT APPLICATION— Burnett County, WI a ib <br /> Applicant Complete All Sections Below This Line B w w <br /> Permit Types and Fees:(Please,check appropriate boxes) CD <br /> d <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 ro <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 <br /> 0 <br /> ';'-. <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 r°r. <br /> VI ilo <br /> Filling/Grading $150 Boathouse $500 <br /> Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 I <br /> *NOTE:After-the-fact permits(permit acquired after Construction has begun)may cost up to three times the normal fee. `5 1 <br /> *Communication Towers,Camping Permits&Signs require a different application form;see corresponding application,and fees. CD IN. <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. �• ►. <br /> o i <br /> Property Owner's Name: Hans Christian Hage '- <br /> oo <br /> 9657 Glacial ValleyRoad a <br /> Property Owner's Mailing Address: Woodbury MN 55129 n <br /> lk <br /> City State Zip ° <br /> Property Site Address: Property ID: 07-024-2-39-14-32-2 01-000-011000 (Parcel East of 2961 Rolling Green Rd) <br /> o g,, %.. <br /> Contact's Telephone Number: 651-271-4706 CD <br /> o. <br /> d <br /> Contact's Email: hans.hage@gmail.com <br /> **If staff has a question about this application,you will be contacted via email. Make sure your email address is N b <br /> legible and your email provider will accept emails from the following addresses: @BurnettCounty.org and 00 <br /> @BuntettCountyWl.gov c <br /> d <br /> Legal Description of Property: NE NW 5 <br /> o <br /> Section#: 32 Town#: 39N N Range#: 14W W Town of: Rusk(024) <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system properly page.* o H <br /> Tax ID#(1-5 digit number;found on tax statement): 16307 t7 <br /> i <br /> Proposed Use of Structure/Addition: Barn-private residential storage E W <br /> Anticipated Start Date: 05/20/2023 (Nome/Cabin;Commercial Business;Bedroom;Deck;etc.) �) <br /> Building Contractor: Midwest Steel Carports Sewer Installer: N/A O IP \1 <br /> z <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> /Pee}- a W 5 e , <br /> a IOa A."a h td fi <br /> 41 Adb?5s 0. fieeld l 2.1/ia-3 , <br /> �� 5 y cap ►���( gym. be. �, �,,,,,.�- �-P; <br /> eg <br /> Fee Rec:'1 l Id <br /> le <br /> y-Plu mb 5,01:-gy eJm, ;s Meedeo( -4( Vc J►4 ei Check#: <br /> d Na <br /> Gv d;sc► e 4 i CA� ne - c /Io,,eJ r <br /> �. ,, <br /> C J <br /> Date of staff site visit: 5/cl i 2-3 Initi s of sit visit staff: fl E- x <br /> ag) giiii <br /> 3 0 <br /> APPROVED BY LAND SERVICES OFFICIAL: DATE: 5/(0I� 3 _. <br /> <. <br /> ; `° = Eft <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF coo w <br /> K y c cmSIGNED PERMIT APPLICATION IN PLAIN SIGHT . Q <br /> Pagelof5 <br /> Burnett County, WI Land Use Application—Rev 3/2023 rr cvo <br /> �� �� <br /> -3 <br />