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LAND USE PERMIT APPLICATION—Burnett County, WI a <br /> a: <br /> Applicant Complete All Sections Below This Line 3' CO w <br /> Permit Types and Fees:(Please,check appropriate boxes) o O <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 g r <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 p <br /> Accessory Structure(Garage,Shed,etc.) $150 X Addition/Alteration to Accessory Structure $150 OD <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 <br /> 0 <br /> o <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 <<- <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 (U N <br /> Filling/Grading $150 Boathouse $500 Se) <br /> t� <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 <br /> ro <br /> *Communication Towers,Camping Permits&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. 0 ��� <br /> z <br /> Property Owner's Name:Richard Bignell Sr. Easement with WE Energies Agent Jeff Rice o o pi <br /> 0 <br /> 0 <br /> Property Owner's Mailing Address: Jeff Rice 210 North St Iola,WI 54945 Agent e. n <br /> City State Zip E <br /> Property Site Address: 24869 Leghorn Dr. <br /> 715-218-2002 y <br /> Contact's Telephone Number: ,. 1�NI^1 t' <br /> Contact's Email: )rlCe@rnl-teCh.US `� <br /> **If staff has a question about this application,you will be contacted via email. Make sure your email address is Ni ro <br /> legible and your email provider will accept emails from the following addresses:@BurnettCounty.org and 8. <br /> @BurnettCountyWl.gov cro C7 'V n[1 <br /> Legal Description of Property:Lot 1 CSM V23 P89 (#398015) SE SW a. <br /> Section#: 34 Town#: 39 N Range#: 16 W Town of: Meenon <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* W F <br /> o <br /> Tax ID#(1-5 digit number;found on tax statement): 32713 <br /> Proposed Use of Structure/Addition: Gas Substation <br /> Anticipated Start Date:July 2023 (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) 1 V <br /> Building Contractor:WE Energies Sewer Installer:NA <br /> z W <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br /> THIS PERMIT IS SUBJECT TO L CONDITIONS LISTED BELOW: <br /> 0 ei 1'( K f 710 erXc:E� a Aef 4 m f /� / <br /> y 19a <br /> g Fee Rec: ~ <br /> o Check#: <br /> m <br /> Date of staff site visit: 4 ' 7' 92 In' ' Is of le vis 3 ' <br /> y r— <br /> a <br /> G�4 n �' <br /> /zo z3 Z z <br /> NO <br /> APPROVED BY LAND SERVICES OFFICIAL: DATE: � � 3 0 <br /> -n 2a <br /> Page l of 7 ° y am DoN <br /> o <br /> P CD N <br /> Burnett County,WI Land Use Application—Rev 5/2023 , 4 CO <br /> n <br />