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,", LAND USE PERMIT APPLICATION-Burnett County. WI a 1 6" <br /> Applicant Complete All Sections Below This Line a . w <br /> CD ' <br /> Permit Types and Feeselease,check appropriate boxes) .-• 1-:;1 $- <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 • o <br /> X Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 4 <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 0C b i <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 g. <br /> �1� <br /> Filling/Grading $150 Boathouse $500 P <br /> a, <br /> Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 g <br /> *NOTE:After-the-fact permits(permit acquired after construction has begun)may cost up tothree times the normal fee. 4 <br /> -41 <br /> *Communication Towers,Camping Permits&Signs require a different application form;see corresponding application,and fees. <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. g. -• <br /> o -' <br /> Property Owner's Name: AJ'IES f t H. AND CAROL A PECK - t <br /> o <br /> 0 <br /> �p�- RD�hh ,tea <br /> Property Owner's Mailing Address:a, v IKILKARC ., DAN BU RY kI!, _9-030 P. 0 i <br /> City State Zip E <br /> Property Site Address: 018950 Kl L kARE ROAD . < y <br /> Contact's Telephone Number: 7L5 - cz.5 - 391 ..s a <br /> IrrCA. .°1 ec-k6gmgi . Corr d <br /> Contact's Email: P <br /> **If staff has a question about this application,you will be contacted via email. Make sure your email address is <br /> legible and your email provider will accept emails from the following addresses: @BurnettCounty.org and E. at, <br /> @BurnettCountyWI.gov o <br /> 0 <br /> Legal Description of Property: W y(a,D t or 52B/ N' SE g. <br /> Section#: 0 7 Town#: 410 N Range#: Jy W Town of: SCC77T c' u <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* 1 <br /> Tax ID#(1-5 digit number; found on tax statement): ( 77.5 11 ,-.J d <br /> Proposed Use of Structure/.�ddi ion: v�N j CL E -i Q U 1 pE/'1 fV V STORAGE <br /> Anticipated Start Date: 9/((/ OR SooNEg (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) <br /> Building Contractor.SAH(SSf.$'s ,(.L,C + S ELF Sewer Installer: NA - <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY z <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: _ <br /> Orlleel it II 5ei-L ks . -- <br /> 0 'Vol- hwrn4l1 44Ui 4)L 1 <br /> 91) <br /> '� r <br /> �..co( (Z.er3o Pia' V)-e on y cA <br /> g Fee Rec: /6 Y c Check#: g'/4I7 <br /> ra A <br /> Date of staff site visit: 9 lab-3 4nitia o it visit staff: ), aIMI <br /> APPROVED BY LAND SERVICES OFFICIAL: DATE: 11//,3I?3 0 <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF y0 2 Lc CD <br /> CD <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT <br /> INT <br /> Page l of 5 a <br /> �\ JJ <br /> Burnett County, WI Land Use Application-Rev 3/2023 <br />