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n LAND USE PERMIT APPLICATION —Burnett County, WICP <br /> C to <br /> Applicant Complete All Sections Below This Line 0 w A <br /> CD <br /> Permit Types and FeestPlease,check appropriate boxes) b <br /> C7 <br /> X Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 - Q <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 ^C. <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 j <br /> n e <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 t <br /> Filling/Grading $150 Boathouse $500 <br /> cr) r--- <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. $ <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. o .: G <br /> z <br /> Property Owner's Name: Don Lennox ---1 N <br /> S. UN -C. <br /> Property Owner's Mailing Address: 2443 Clearview Ave Mounds View 55112 w <br /> City State Zip ° r" 1n1 <br /> Property Site Address: Aspen Hills Lot 75 q 2 a J a p 11r1,60 W111 --rat !way - C <br /> •o '' <br /> Contact's Telephone Number: (763)233-8221 a <br /> 0 <br /> Contact's Email: P0rLeivlox., Lt.,5 e gnna'' \ ' co `„,, <br /> **If staff has a question about this application, you will be contacted via email. Make sure your email address is '-C <br /> legible and your email provider will accept emails from the following address: @BurnettCountyWLgov 0 °0 G <br /> on <br /> Legal Description of Property: Lot 75 Aspen Hill Addition to Voyager Village g. <br /> Section#: 22 Town#: 40 N Range#: 15 W Town of: Jackson <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* cip <br /> -3 -3 <br /> Tax ID#(1-5 digit number; found on tax statement): 6395 N <br /> N o <br /> Proposed Use of Structure/Addition: New Construction Vacation Rental -i y <br /> Anticipated Start Date: 4/20/24 (home/Cabin;Commercial Business;Bedroom;Deck;etc.) CAI <br /> Building Contractor: Don Sewer Installer: Jackson 53 O (A <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY ° z <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: z Pz <br /> D Y UA- at S(_-140ar t%S F I— <br /> n <br /> Nutlet \c ar\ 4,0 tcc e ed -rrsomS fe.r 5 1-2/{ -5 3 <br /> Fee Rec:3("x <br /> O DLA, e,u2trIl r c 4- 40 .p X( te.el 4D- 4 h¢.19 h+ re S-*I c-CT i in z Check#: 1/3,21) <br /> -< <br /> po <br /> I < J <br /> Date of staff site visit:Li I6I2D2� Initials of site visit staff: 4- Gl L d sp <br /> APPROVED BY LAND SERVICES OFFICIAL: �� �DATE: ViOe0/7 gj W m MI <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF o o lNt <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT . . cc <br /> CD 011 <br /> Page 1 of 5 l __„ �J <br /> Burnett County, WI Land Use Application —Rev 12/2023 <br />