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LAND USE PERMIT APPLICATION —Burnett County, WI a 2 <br /> 5: N <br /> Applicant Complete All Sections Below This Line w <br /> CD 1 <br /> c. <br /> Permit Types and Fees:(Please,check appropriate boxes) o I <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 0 - <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 0 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 /> C <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 < <br /> X , <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 o I <br /> Filling/Grading $150 Boathouse $500 <br /> m <br /> Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 <br /> ;J <br /> *NOTE:After-the-fact permits(permit acquired after construction has begun)may cost up to three times the normal fee. ` <br /> *Communication Towers,Camping Permits&Signs require a different application form;see corresponding application,and fees. 3 IA <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. o o o‘ <br /> Property Owner's Name: Michael J Kennedy & Laurie Lonsdorf o <br /> O <br /> ,a <br /> Property Owner's Mailing Address: 990 Sunny Ridge Drive, Carver MN 55315 F. r) <br /> City State Zip <br /> Property Site Address: 27427 Shake Lane, Webster WI 54893 0 -- <br /> Contact's Telephone Number: 952-221-4887CA F'D <br /> a <br /> 0 <br /> Contact's Email: kensuncar@yahoo.com <br /> **If staff has a question about this application,you will be contacted via email. Make sure your email address is N ro I• <br /> legible and your email provider will accept emails from the following addresses: @BurnettCounty.org and =_ tl° <br /> @BurnettCountyWI.gov <br /> o <br /> Legal Description of Property: LOT 8 CSM V 13 P 261 (GOV LOT 2) #274627 h <br /> Section#: 34 Town#: 40 N Range#: 14 W Town of: Scott ..��>> CA <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* <br /> Tax ID#(1-5 digit number;found on tax statement): 18815 <br /> Proposed Use of Structure/Addition: Replace deck & stairs to lake n <br /> Anticipated Start Date: (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) <br /> Building Contractor: Sewer Installer: <br /> ZUsl <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY x <br /> THIS PERMIT ISSUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> 0m 411 sc L --. . <br /> g oreLia S4 144A', we c/bwe1, s/n"1 SileI �be_ <br /> 0✓G0 .r•5. = Fee Rec: /o��S� <br /> o Check#:4 <br /> m <br /> z <br /> /L`1 , rn <br /> o <br /> Date of staff site visit: /0/✓[/3 Initial of sit vis' staff: � < <br /> APPROVED BY LAND SERVICES OFFICIAL: DATE: GO/6l 23 ,„, <br /> (� <br /> a n C/) U ►1 <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF ° W rn <br /> n CD _ <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT o o <br /> Pagelof5 -' w C CD c N <br /> Burnett County, WI Land Use Application—Rev 5/2023 m 3 GA, <br /> a 1 <br /> L <br />