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c <br /> LAND USE PERMIT APPLICATION — Burnett County, WI Fr 't' i C <br /> IC A <br /> Applicant Complete All Sections Below This Line a v_ a W <br /> Permit Types and Fees:(Please,check appropriate boxes) p a C �\ <br /> 7 <br /> QIt. 0 <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 p <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 Q M 1 <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 \`C <br /> G� ^` <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 7p ''. <br /> Driveways/&Campground Structures r <br /> $125 WI State Statute 59.692(1v)Structures $350 0 0 vikr <br /> Filling/Grading $150 Boathouse $500 ;���NNN` <br /> Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 R. <br /> *NOTE:After-the-fact permits(permit acquired after construction has begun)may cost up to three times the normal fee. •%\ <br /> ro <br /> *Communication Towers,Camping Permits&Signs require a different application form;see corresponding application,and fees. .y <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. 4 r t <br /> c �J <br /> G (� <br /> z <br /> Property Owner's Name:Jeffrey&Laura Shaffer c St N Hugo MN 55038 _. c \ <br /> 6155 150thProperty Owner's Mailing Address: g. n L� <br /> ki <br /> Property Site Address:24812 Sunfish bay Rd. MEENON TWP. City WI State 1$72 c <br /> E <br /> Contact's Telephone Number:651-246-7871 (% o <br /> \IN d <br /> Contact's Email:jeffshafferhugo@gmail.com <br /> **If staff has a question about this application,you will be contacted via email. Make sure your email address is N ro <br /> o <br /> legible and your email provider will accept emails from the following addresses: @BurnettCounty.org and 5 <br /> @BurnettCountyWI.gov °O <br /> P. <br /> Legal Description of Property: 5. <br /> Section#:34 Town#:39 N Range#:16 w Town of: Meenon <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* ,C. l/\ i <br /> Tax ID#(1-5 digit number;found on tax statement): 12791 ?6 <br /> I •I <br /> Proposed Use of Structure/Addition: 4 season Cabin <br /> Anticipated Start Date:June loth 2023 (Home/Cabin;Commercial Business;Bedroom;Deck,etc.) +.0 <br /> Building Contractor: Hoefs Construction Sewer Installer: Wade Rufsholm �! <br /> z ,S) <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY x O <br /> THIS PERMIT IIS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> 0 F//o/a GePte4; 41$ o I//I/2 — a3 - tag• <br /> g lous f fog coos 4 -IG/0cif4/H e�ul ,�I> . <br /> e-v- S iM - 2 3 -- D � <br /> �� ir �x� !it/1 S w Fee Rec: <br /> '4 <br /> C0 T T MC.2r A D G1 l..l b , S, e Ted' " f e- t/� g Check#0 f- <br /> nN cs� oWr o G /h <br /> I/j e-rinn 1 JR-' <br /> Date of staff site visit: 6/07/Z4 2-3 Initials of site visit staff: 7i7 - r W J <br /> a in <br /> APPROVED BY LAND SERVICES OFFICIAL• ��" DATE: "/ /Z6P Z3 co co D 0 <br /> CI h i0fa/` 4 he Yeiv1s S40kt) �IU,0 uHlt 0 <br /> CdN Page goo f CD <br /> c14,i,t4 eN 5►o i .//o cc? o h Burnett County, WI Land Use Application—Rev 5/2023 N <br /> 10y )b/)l ?caV n = `�' inn <br /> J <br />