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1.L-11111 U3r. rr.lslvll 1 2-1rrtAk-Pk 1'till — nurnett t_,ounty, W i 0. <br /> Applicant Complete All Sections Below This Line <br /> 0. <br /> x ?P. <br /> •` <br /> Permit Types and Fees:(Please,check appropriate boxes) <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 �'� '1 <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 0 <br /> Accessory Structure(Garage,Shed,etc.) $150_ Addition/Alteration to Accessory Structure $150 <br /> Accessory Structure(Commercial/Industrial).$200 Addition/Alteration to Bunkhouse $150 n '\ " <br /> /. Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 ° Cr'Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 r <br /> Filling/Grading $150 Boathouse $500 <br /> Six Month Camping Unit(One Per Year) $100 Permit Extension(1 Year Extension-Allowed Once) $100 <br /> *NOTE:After-the-fact permits(permit aquired after construction has begun)may cost up to three times the normal fee. <br /> *Communication Towers&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. t-' <br /> o <br /> Property Owner's Name: IALC_h CI e..1 `'l- -J tan \ila I -fL 7-1 (r1 ci z <br /> I1 I ` <br /> CT <br /> Property Owner's Mailing Address:c 7�5 S tal-e P)o ad 35 (.,vebs V�f ' Z 5 t-Ig9 , <br /> ', ', jj City <br /> Property Site Address: W In f f; a t a 1 IC(c 1 (Jess RV Par A � IP '' <br /> o <br /> Contact's Telephone Number: r7 i 5 -F'cc-to - 8 a'740 /o l� a "'� <br /> Contact's Email: i,)1")I t eta i / l t)I Id t r t)eSS ' Out(Yl Cli CO m <br /> Legal Description of Property: I rl C 1 t t d t'G/ N G <br /> Section#:3 c Town#: 1 HD N Range#: 1(p W Town of: Oa k<I a n( 5. <br /> lav <br /> o <br /> *Attach additional page i/needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* q S <br /> 0 <br /> Tax ID#(1-5 digit number; found on tax statement): 3 G a? 3 <br /> cn <br /> Proposed Use of Structure/Addition: C rn 0. L1 IO IA rl d s f r-U (� l�►ram w <br /> w <br /> Anticipated Start Date: 10)(nl eci J Ct 1-(', - Home/Cahin;Commercial Business;Bedroom:Deck;etc.) t v ° 5 <br /> Building Contractor: /\//A Sewer Installer: — -3 O <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY 6N <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: A N <br /> 0fl/otit) 0/ eetfcaikvi 'vN^ CUP- Zi-to. z W <br /> 1\ <br /> .-, Fee Rec: 14 w <br /> t Check#: S'/98 <br /> I Cl)VA <br /> Date of staff site visit: .—l �d Initia of site visit staff: �`' � r <br /> APPROVED BY LAND SERVICES OFFICIAL: DATE: 3/zB/ZOZY <br /> UPON APPROVAL: APPL -CANT MUST POST COPY OF W n <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT 7.o owdb Fill <br /> , <br /> Transcendent: - Page 1 of 4 ;` `` <br /> Laserfische: - Burnett County, WI Land Use Application —Rev 1/2020 u. <br /> y �� <br />