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LAND USE PERMIT APPLICATION —Burnett County, WI a <br /> a <br /> Applicant Complete All Sections Below This Line 5' w <br /> Permit Types and Fees:'P/ease,check appropriate boxes) ° <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 cc <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 <br /> E <br /> X Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 <br /> Oz <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 per, <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 ee, 0� ~„ <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 c 7'' <br /> Filling/Grading $150 Boathouse $500 S <br /> Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 <br /> *NOTE:After-the-fact permits(permit acquired after construction has begun)may cost up to three times the normal fee. <br /> :::" <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. o <br /> Property Owner's Name: Michael J Kennedy & Laurie A Lonsdorf o (% <br /> g. <br /> Property Owner's Mailing Address: 990 Sunny Ridge Drive, Carver MN 55315 ni <br /> w. n <br /> City State Zip <br /> Property Site Address: 27427 Shake Lane, Webster WI 54893 <br /> ,952-221-4887 n <br /> Contact's Telephone Number: '� a <br /> Contact's Email: kensuncar@yahoo.com U ° (I <br /> **If staff has a question about this application,you will be contacted via email. Make sure your email address is N ,.0 <br /> legible and your email provider will accept emails from the following addresses: @BurnettCounty.org and = 00 <br /> ts <br /> @BurnettCountyWl.gov aq <br /> Legal Description of Property: LOT 8 CSM V 13 P 261 (GOV LOT 2) #274627 6. <br /> Section#: 34 Town#: 40 N Range#: 14 W Town of: Scott 7) `4 <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* CAI c <br /> Tax ID#(1-5 digit number;found on tax statement): 18815 <br /> SO g O <br /> Proposed Use of Structure/Addition: Garage <br /> Anticipated Start Date: October 2023 (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) <br /> Building Contractor: Wohlfords Construction Sewer Installer: <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> gI'll-ee-� cA 11 S (S <br /> NOT- To( 11..01441 Lb1kilo A I_ <br /> © wrw <br /> New kSI ed ove' Si--/Op Si-- Ae4eri5 a 1441 vse penes`-o/ be re/4'd J <br /> p,� Fee Rec: t5W <br /> f /m.f ekpir• ' <br /> L / e g Check#: �C�, <br /> (y 1 n/C..✓/Rt,P�t P. f tC� S�it r nD� 14 nee" 14 l�et�r t,, <br /> bi 12-11 l 2'3' z <br /> .�Q / L o <br /> Date of staff site visit: CIP' ( 3� Initial f site isi taff: riE < ' <br /> APPROVED BY LAND SERVICES OFFICIAL: DATE: �! �� u, m <br /> El <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF z & E 0 <br /> -C 2 rV <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT m o o o <br /> Pagelof5 < �CD� t <br /> Burnett County, WI Land Use Application—Rev 5/2023 u 2Infil <br /> c.� <br /> a <br />