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LAND USE PERMIT APPLICATION - Burnett County, WI cr <br /> Applicant Complete All Sections Below This Line II <br /> g w <br /> Permit Types and Fees:(Please,check appropriate boxes) a <br /> C7 <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 6Q O <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 i <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk >4 Bunkhouse $250 °? <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 0 1 <br /> Filling/Grading $150 Boathouse $500 <br /> Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 E r <br /> *NOTE:After-the-fact permits(permit acquired after construction has begun)may cost up to three times the normal fee. J <br /> *Communication Towers,Camping Permits&Signs require a different application form;see corresponding application,and fees. 6_ <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. .c,. /� <br /> z • <br /> RA <br /> Property Owner's Name: Karen Volkman o -� pia � r <br /> Property Owner's Mailing Address: 16835 49th PI N, Minneapolis, MN 55446 LS <br /> n W <br /> City State Zip V <br /> Property Site Address: 1108 Blackburn Rd, Spooner, WI 54801 '� < <br /> Contact's Telephone Number:715-634-6750 n <br /> d <br /> Contact's Email: carrie@hillconstruction.net co <br /> **If staff has a question about this application,you will be contacted via email. Make sure your email address is N b <br /> legible and your email provider will accept emails from the following addresses: @BurnettCounty.org and = 0Q ' <br /> @BurnettCountyWl.gov ro <br /> Legal Description of Property: Lot 1, CSM#3374 V16 P185 0 `J <br /> Section#: 36 Town#: 40 N Range#: 14 W Town of: Scott <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* �J o X <br /> Tax ID#(1-5 digit number; found on tax statement): 18894 v <br /> Proposed Use of Structure/Addition: Garage& Rec Area CZ <br /> Anticipated Start Date: July 2023 (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) (� M <br /> Building Contractor: Hill Construction, LLC Sewer Installer: Burch Plumbing G <br /> z <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY 'x <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> 01Yiee+ l( Se 4,,LCS SAW��-l� <br /> ® tl,r3 4- Bail � ,0 � <br /> ho.s }- - exceic( 1/ bps pet7 <br /> 0 -3QLId bt.4140K se a) /1J1C 14- <br /> Fee Rec: <br /> o Check#: (,Z42,c, <br /> r <br /> Date of staff site visit: 7/�5/9-3 Ini 'a of sit 'sit staff: H < a <br /> foil <br /> Q/ <br /> APPROVED BY LAND SERVICES OFFICIAL: DATE: ��A(�`?3 CO c UPON APPROVAL: APPLICANT MUST POST COPY OF o o a <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT <br /> Page 1 of 5 rri = �. J� <br /> Burnett County, WI Land Use Application—Rev 5/2023 v <br /> y <br />