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' / '' -. LAND USE PERMIT APPLICATION - Burnett County, WI Li g bApplicant Complete All Sections Below This Line <br /> Permit Types and Fees(Please,check appropriate boxes) ,� O <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 I 1 v <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 '° <br /> XAccessory Structure(Garage,Shed,etcV0 4460 ,Addition/Alteration to Accessory Structure $150 1 FL <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 n h <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 0 <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 c <br /> Filling/Grading $150 Boathouse $500 i <br /> Solar Panels(Stand alone or roof mounted)_$150_ Permit Extension(1 Year Extension-Allowed Once) $100 2. Q <br /> NOTE:After-the-fact permits(permit acquired after construction has begun)may cost up tothree times the normal fe.55- <br /> *Communication Towers,Camping Permits&Signs require a different application form;see corresponding app tcation,and fees. a <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. S -- <br /> o <br /> Property Owner's Name: Ty Slonneger 8 <br /> Property Owner's Mailing Address: 28558 Irish Lane Washington IL. 61571 i� ! 1 <br /> City State Zip <br /> Property Site Address: 28365 Kilkare, Danbury, WI o y <br /> Contact's Telephone Number: 309-635-6294 I I I °' <br /> Contact's Email: Ty@rnselectricinc.com `p <br /> **If staff has a question about this application,you will be contacted via email. Make sure your email address is b <br /> rn ' .Z <br /> legible and your email provider will accept emails from the following addresses: @BuettCounty.org and • <br /> - <br /> CBumettCountyWLgov LOT 2 CSM 5195 VOL 29 P 239 Recorded as document ° N 'N <br /> Legal Description of Property: <br /> 477928 (GOV LOT 1) G <br /> Section#: 23 Town#: 40 N Range#: 15 W Town of: Jackson f <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* !W N F, <br /> Tax ID#(l-5 digit number;found on tax statement): 36287 ;c__A ,,W <br /> Proposed Use of Structure/Addition: i6' <br /> Anticipated Start Date: (Home/Cabin;Commercial Business:Bedroom:Deck;etc.) ' "L� <br /> P C7 o.0 <br /> Building Contractor: Sewer Installer: i 3 "J <br /> z <br /> AREA BELOW THIS LLNE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY x <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> ( Shtc I Carp co'.-l-aA 0 er CGt/1/D-- -be urn hJ y 01 ` <br /> al <br /> n i Fee Rec:5 t O <br /> &ii VIS (�fmI- iS -��' ( lA o Co.r� CbAiii, aid ( localon -C-�,r- o Check#: __. <br /> m <br /> •hed -b be mbvtdIV-I <br /> -it load i vi by 7/1/2 q c <br /> Date of staff site Visit:1 Iq 4- 41 q)2.14 Initials of site vi it staff:kT + EiL < m <br /> APPROVED BY LAND SERVICES OFFICIAL. DATE: ///lZ/zozy <br /> a co CO3 w cm') C <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF z N <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT 3 w <br /> Pagelof5 < a e <br /> Burnett County,WI Land Use Application—Rev 3/2023 c ) <br /> H i <br /> a <br /> 3 <br /> S <br />