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LAND USE PERMIT APPLICATION — Burnett County, WI1 *-0 <br /> Applicant Complete All Sections Below This Line : w <br /> a. <br /> Permit Types and Fees:(Please,check appropriate boxes) <br /> Dwelling/Principal Structure $300 X(' Addition/Alteration to Dwelling/Principal Structure $200 " C w <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 (1\ o <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150CNI g) <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 <br /> 0 X. <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 << iii <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 c <br /> Filling/Grading $150 Boathouse $500 <br /> W Ill <br /> Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 E. <br /> *NOTE:After-the-fact permits(permit acquired after construction has begun)may cost up to three times the normal fee. <br /> *Communication Towers,Camping Permits&Signs require a different application form;see corresponding application,and fees. 2 ow <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. F, z <br /> p <br /> Property Owner's Name: Shawn and Michelle Swaney o % <br /> Property Owner's Mailing Address: P.O. Box 220 Danbury WI 54830 wa n (a <br /> City State Zip E <br /> Property Site Address: 8111 Gorman Road, Danbury WI, 54830 \ o y , <br /> Contact's Telephone Number: 402-708-1800 a tf`. <br /> W d <br /> Contact's Email: mswaney@ksi-construction.com <br /> co <br /> **If staff has a question about this application,you will be contacted via email. Make sure your email address is N ro <br /> legible and your email provider will accept emails from the following addresses:@BumettCounty.org and <br /> @BurnettCountyWl.gov ao <br /> d <br /> Legal Description of Property: Lot 3 CSM V 3 P 18 (IN N 1/2 SW FR) S. r°S) <br /> Section#: 18 Town#: 40 N Range#: 16 W Town of: Oakland U <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* ) k <br /> Tax ID#(1-5 digit number;found on tax statement): 13393 I • d <br /> J- H <br /> Proposed Use of Structure/Addition: A A T/l4l,.. Roof- Oi/s? 2. A4, 1-tie.„. a <br /> Anticipated Start Date: /p-./,ram Z?, (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) O W N. <br /> Building Contractor: Property Owner Sewer Installer: % W <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY 1\ LJ <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> x Fee Rec: <br /> o Check#: th <br /> m <br /> r <br /> z <br /> Date of staff site visit: ��� �Z Ini 'als of site visit staff: )1/// < i °. <br /> / m 07 D <br /> APPROVED BY LAND SERVICES OFFICIAL: DATE: ��ZDZ3 - —4 "'. <br /> > m wCCO ON <br /> MI <br /> UPON APPROVAL: APPL CANT MUST POST COPY OF o m g <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT 0-Z t <br /> Page 1of5 < ' L- ) <br /> Burnett County, WI Land Use Application—Rev 3/2023 u <br /> a <br /> t <br />