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LAND USE PERMIT APPLICATION — Burnett County, WI a c <br /> 1 <br /> Applicant Complete All Sections Below This Line a ;J'e <br /> Permit Types and Fees:(Please,check appropriate boxes) <br /> .>‹,Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 M, Q <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 <br /> I Accessory Structure(Commercial/Industrial) S200 Addition/Alteration to Bunkhouse l $150 <br /> iDeck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 ` 3 <br /> ( Driveways/&Campground Structures r y pg $125 WI State Statute 59.692(1v)Structures $350 k <br /> Filling/Grading $150 Boathouse $500 <br /> 8 Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension:Allowed Once) $100 <br /> - <br /> NOTE:After-the-fact permits(permit acquired after construction has begun)may cost up to three times the normal fee. <br /> (o <br /> *Communication Towers, Camping Permits&Signs require a different application form;see corresponding application,and fees. <br /> r <br /> *items not listed above will be treated as accessory structures,such as:pergolas, landscaping,etc. <br /> Property Owner's Name: SM Wolf Holdings LLC DBA TIMBERLAND COTTAGES 1-1 <br /> Property Owner's Mailing Address: 19200 County Road 40, Belle Plaine, MN 560111 ' <br /> City State Zip <br /> Property Site Address: XXX Aspen Terrace, Scott, Wi �; f o <br /> Contact's Telephone Number: 952-994-6924 c, <br /> P. 1 <br /> Contact's Email: Timberlandcottages©gmail.com <br /> ' -"- <br /> ''""If staff has a question about this application, you will be contacted via email. Make sure your email address is N ''' <br /> legible and your email provider will accept mails from the following addresses: Cai)BurnettCounty.org and 5, frc' <br /> IV <br /> (fi'BurnettCountvWI.gov "` '..____ <br /> a (v <br /> Legal Description of Property: Spring Green Addition to Voyager Village LOT 73 — w <br /> Section#: 7 Town#:_40 _N Range#: 14 W Town of: Scott —Q I,,, I <br /> 'I'Amach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax.system property page.* a <br /> I <br /> 19436 1° <br /> Tax ID#(1-5 digit number; found on tax statement): <br /> Proposed Use of Structure/Addition: HorrlelCabin _ i -C <br /> Anticipated Start Date: 7/19/23 (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) <br /> Building Contractor: SM Wolf Holdings LLC Sewer Installer: Jackson Plumbing iz +, "� <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY ,7J <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> — Nktth ail Se-Noo clS t r1c1 u vj se-1-huffs -b -f se p4-i SvS+e rn 1 <br /> r I <br /> - t-1 nod- io eYc xl S btarwnnS ,err 1-25-I0`( co <br /> Fee Rec:3OO <br /> Check #: .ii <br /> f' <br /> 1I ► 1 zoz <br /> n ' f <br /> Date of staff site visit: -7 ii 2 2- __ titials of site visit staff <br /> m m <br /> 1 DATE: 117lLOZ3 U a. tH <br /> Ar'PRO Vr,D BY LAND SERVICES OFFCCIA — �- <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF <br /> uu <br /> o <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT o 0 0 <br /> Page l of 5 < 3 <br /> Burnett County, WI Land Use Application — Rev 5/2023 <br /> y <br /> r <br />