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r <br /> LAND USE PERMIT APPLICATION — Burnett County, WI b <br /> Applicant Complete All Sections Below This Line c' &. <br /> Permit Types and Pees(Please,check appropriate boxes) 1� <br /> Dwelling/Principal Structure $300 X Addition/Alteration to Dwelling/Principal Structure $200 , <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 r <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 <br /> I <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk <br /> Bunkhouse $250 <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 1 <br /> Filling/Grading $150 Boathouse $500 I <br /> Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 I <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. <br /> Property Owner's Name: John Meierhofer .1-1 <br /> c <br /> 2331 Valparaiso Blvd, North Fort Myers, FL 33917 c. <br /> Property Owner's Mailing Address: . cr G <br /> 28646 Great Bear Pass, Danbury, WI 54830 City State Zip 3 <br /> Property Site Address: o <br /> 651-338-0325 • a <br /> Contact's Telephone Number: a <br /> 0 <br /> jmeierhofer1906@gmail.com Ici <br /> Contact's Email: <br /> **If staff has a question about this application, you will be contacted via email. Make sure your email address is N -o .J <br /> legible and your email provider will accept emails from the following address: @BurnettCountyWl.gov _ °o <br /> Legal Description of Property: GREAT BEAR ADD TO VOYAGER VILLAGE LOT 65 0 <br /> 5. <br /> Section#: S13 Town#: T40 N Range#: R15 W Town of: Jackson <br /> fo <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* '1' <br /> Tax ID#(1-5 digit number; found on tax statement): 7400 l 1/,tD l W ,, 11 <br /> Proposed Use of Structure/Ad dition: Porch -� `� <br /> Anticipated Start Date: (Home/Cabin;Commercial Business.Bedroom. Deck, etc.) Q <br /> Building Contractor: self Sewer Installer: N/A ,, 0 <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY r11 z eG <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: d3 <br /> kA <br /> n <br /> c, <br /> Lo4- 66 00 Le 5 -b b b i l,e� I a -el'-��it d Survey IVlu,� rt, <br /> 1ry Fee Rec:„r��� <br /> CCS�• iki a w l Li c e r tc Su.r reNc< m tut l`ZOZy z Check#: 72902 <br /> Date of staff site visit:31512-aq Initials of site visit stafl':4cF 4 t71l k i ___ -____-_Jj <br /> APPROVED BY LAND SERVICES OFFICIAL: DATE: 41//71 242y T. EN <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF A.I <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT o 0 o <br /> Page 1 of 5 3 .INTI <br /> Burnett County, WI Land Use Application— Rev 12/2023 JJ <br />