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• LAND USE PERMIT APPLICATION-Burnett County, WI c <br /> R <br /> < v <br /> Applicant Complete All Sections Below This Line o w <br /> n CSTPermit Types and Fees�Pieose,check appropriate boxes) 4 � <br /> X Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 OQ O <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 g <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 °, <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 0 <br /> Filling/Grading $150 Boathouse $500 cn <br /> 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 tothree times the normal fee. <br /> *Communication Towers,Camping Permits&Signs require a different application form;see corresponding application,and fees. "' <br /> g "III <br /> *items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. t <br /> z <br /> a <br /> Properly Owner's Name: Arthur J and Victoria R Lyons F (.> <br /> o <br /> Q. <br /> -cs • <br /> Property Owner's Mailing Address: 621 Rusk St.W1 Spooaner WI 54801 a n <br /> City State Zip <br /> Property Site Address: 23805 Azorah Lane,Shell Lake,Wi 54871 < p <br /> o Fp <br /> g <br /> Contact's Telephone Number: 608.780.2897 <br /> d <br /> Contact's Email: vrlyons04@gmail.com <br /> **If staff has a question about this application,you will be contacted via email. Make sure your email address is N 'a <br /> Ili <br /> legible and your email provider will accept emails from the following addresses: BurnettCounty.org and a °°ct <br /> @BumettCountyWI.gov �ro <br /> g <br /> rr <br /> Legal Description of Property: LOT 20 CSM VOL 11 P 146 RECORDED AS DOCUMENT 246867 (GOV LOT 8) q <br /> Section#: 18 Town#: 38N N Range#: 14W W Town of: Dewey <br /> *Attach additional page if needed_for lengthy description OR attach a copy of the deed OR attach tax system property page.* 73 - <br /> Tax ID#(1-5 digit number;found on tax statement): 3268 5 ° <br /> `I Vv <br /> Proposed Use of Structure/Addition: Primary Home �J <br /> Anticipated Start Date: September 15.2023 (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) U <br /> 5 <br /> Building Contractor: Heart of the North Homes Sewer Installer: Wade Kufholm Y <br /> z <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY pc <br /> THIS PERMIT IS SUB T TO ALL CONDITIONS LISTED BELOW: <br /> flee a LI 54 et EC ( <br /> Owc(L not -Ia geed 3 bedvoiS rr SgN- 3-I'16. E <br /> 0, f:YO 7✓, 6a✓l`fYv ?�/ DC I%1 ® V Fee Rec: -Uco <br /> CA <br /> IS Ce e5 bit51e. d Check#: 4/QVS- <br /> m <br /> i <br /> Date of staff site visit: 7/2.743 Initials of si vi t staff: j-ig M <br /> , <br /> APPROVED BY LAND SERVICES OFFICIAL: ,A, DATE:g ` /Pz...3 y =a <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF <br /> g gi = 13 fall <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT <br /> Page 1 of 5 g � <br /> Burnett County, WI Land Use Application—Rev 5/2023 9 <br />