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LAND USE PERMIT APPLICATION —Burnett County, WI a <br /> a' <br /> Applicant Complete All Sections Below This Line °' <br /> CD i <br /> Permit Types and Fees'Please,check appropriate boxes) Oa, <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 cc <br /> ,..., <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 <br /> .y <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 <br /> o� <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 << <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 rr- <br /> Filling/Grading $150 Boathouse $500 <br /> X _ <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. $ 1 <br /> *Communication Towers,Camping Permits&Signs require a different application form;see corresponding application,and fees. `D <br /> iiii <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. r. ' <br /> P ' <br /> z <br /> Property Owner's Name:Chris Sawotin F. <br /> a. <br /> Property Owner's Mailing Address: 10756 Zetterberg Road Grantsburg W 54840 <br /> City State Zip ° E <br /> Property Site Address:10756 Zetterberg Road,Granstburg WI,54840 c <br /> Contact's Telephone Number:612-209-1910 a <br /> d <br /> Contact's Email:csawotin@gmail.com <br /> **If staff has a question about this application,you will be contacted via email. Make sure your email address is N -o <br /> legible and your email provider will accept emails from the following address:@BurnettCountyWI.gov °' N <br /> Legal Description of Property:LOT 2 CSM V 1 P 132(IN GOV LOT 8)(D-2060)&LOT 3 CSM V 1 P 132(INOV LOT 8) d -- <br /> W <br /> Section#:S25 Town#:T38 N Range#:R18 W Town of:Wood River F). N <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* <br /> 29020 &29021 Nk <br /> Tax ID#(1-5 digit number;found on tax statement): 0) a <br /> Proposed Use of Structure/Addition: Home/Cabin -3 f1 <br /> Anticipated Start Date:03/15/2024 (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) p <br /> cN 0 <br /> GreenwaySolar w �4 N <br /> Building Contractor: Sewer Installer: <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY rn z 0ci <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: > <br /> 0 <br /> 4-1-s -ID be Combi(Ltd Vki-I a cer-fed ,ery (tsni) <br /> rn <br /> by a WI Li c e tuc1 S(ANY- bi 81)1202L/ / L Icn <br /> 6 i/ T -n Fee Rec: <br /> 0�`r jaiii l�Gl �C� <br /> �Gu I1.f Gf ! d mot a/141a 121 ° Check#: _ _ <br /> S S Joe Stiviad P <br /> ()S(pliC V � n <br /> 2 n T 0 ��J <br /> Date of staff site visit: 3a G-02q Initials of site vi it staff: I rn l J <br /> � ���r� .41 2DZOZ / a liiiii <br /> APPROVED BY LAND SERVICES OFFICIAL. DATE: a <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF co. z 0 <br /> CD : N Hil <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT o o 0 o <br /> is S <br /> Page l of 5 <br /> Burnett County,WI Land Use Application—Rev 12/2023 , <br />