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ro r <br /> LAND USE PERMIT APPLICATION — Burnett County, WI g I. 4 <br /> Applicant Complete All Sections Below This Line a w <br /> Per ' Types and Fees'Please,check appropriate boxes) <br /> C7 <br /> w <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 _o <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 , <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 .* A <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 5' <br /> Filling/Grading $150 Boathouse $500 '. <br /> Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 F. op <br /> After-the-fact permits(permit acquired after construction has begun) may cost up tothree times the normal fee. 5 <br /> ro <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. i 4. il <br /> N 5. <br /> Property Owner's Name: SM Wolf Holdings LLC "E. bi , i <br /> Property Owner's Mailing Address: 19200 County Road 40, Belle Plaine, MN 56011 r <br /> City State Zip p E <br /> •Property Site Address: TBD Deerpath Road Li „r 331 be,¢ ed. c 1.-- <br /> Contact's Telephone Number: 952-994-6924 . �- <br /> a Contact's Email: <br /> timberlandcottages©gmail.com n <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 a °Q <br /> (g,%BumettCountyWl.gov Lot 205 Deerpath Addition to Voyager Village d <br /> t, pProperty: Located in the NE 1/4 of the NE 1/4 and the NE 1/4 of the NE 1/4 <br /> Legal Description of 5'• fi <br /> Section#: 10 Town#: 40 N Range#: 15 W Town of: Jackson (, <br /> '.tttach 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): 6897 H y � <br /> Proposed Use of Structure/Addition: Home/Cabin <br /> Anticipated Start Date: 9/21/23 (Rome/Cabin;Commercial Business;Bedroom;Deck;etc.) <br /> Building Contractor: SM Wolf Holdings LLC Sewer Installer: Cory Jackson Plumbing <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br /> !9- <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> • Mtt4- cw Sc-1-64c,k-S 7 <br /> • NA-R LA Acp r b 4- -b 2xLQ e.,d 3 be4 ctY g pi S \ -23 - 199 02._ <br /> Fee Rec:_C..Q <br /> C4 Check#: <br /> rz <br /> Ir� � <br /> Date of staff site visit: 9//LI/2D27 Initials of site visit staftf ( ��'-�U_ <br /> APPROVED BY LAND SERVICES OFFICIAL. DATE: V207270-2-3 <br /> .t 3 -0 <br /> 0 <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF o Ern <br /> o < <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT 1.< w <br /> Page l of 5 s71 <br /> ' ' <br /> Burnett County, WI Land Use Application —Rev 5/2023 . JJ <br />