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LAND USE PERMIT APPLICATION—Burnett County, WI ilJ <br /> Applicant Complete All Sections Below This Line 5 <br /> Permit Types and Fees:(P1ease,check appropriate boxes) C7 0 - <br /> w �v? <br /> X Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 ..L p <br /> 0 <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 a <br /> X Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 <br /> 0 <br /> Bunkhouse $250 ° <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk X.1 <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 0 <br /> Filling/Grading $150 Boathouse $500 cil i <br /> Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 a. , <br /> $) <br /> *NOTE:After-the-fact permits(permit acquired after construction has begun)may cost up to three times the normal fee. <br /> ro <br /> *Communication Towers,Camping Permits&Signs require a different application form;see corresponding application,and fees. r <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. o z <br /> 9 , <br /> Property Owner's Name:SM Wolf Holding LLC DBA TIMBERLAND COTTAGES o g- N pi <br /> 0 -L.7 <br /> a. <br /> Property Owner's Mailing Address: 19200 County Road 40,Belle Plaine, MN 56011 a j <br /> City State Zip is <br /> Property Site Address: LIS/ Dear-P ,1 e..8 o , E <br /> Contact's Telephone Number:952-994-6924 M=> n <br /> d <br /> w <br /> Contact's Email:timberlandcottages@gmail.com <br /> **If staff has a question about this application,you will be contacted via email. Make sure your email address is N ro .-C <br /> legible and your email provider will accept emails from the following addresses:@BurnettCounty.org and 5 tl° J <br /> @BurnettCountyWl.gov °° <br /> �nfJ b N <br /> Legal Description of Property: 1�Fr/e�k (� J �7 t� tl0``q F/ Vs (0 N <br /> Z. <br /> Section#: I 0 Town#: /o N Range#: /5- W Town of: j ack_ ),-� 3 cn <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax.system property page.* o x <br /> O z d <br /> Tax ID#(1-5 digit number;found on tax statement): (AC-7 <br /> H <br /> Home/Cabin (`Q �O <br /> Proposed Use of Structure/Addition: <br /> Anticipated Start Date: ASa(2 (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) I� <br /> Building Contractor:Timberland Cottages Sewer Installer:Jackson Plumbing 0 <br /> z <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY ro <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> twell.;tn nod 40 -�1(v,td 3 1vd�► ''S Si9 al_7f x Fee Rec: L150 co DS <br /> o Check#: 1 /,g� <br /> C) 1)(.1'.0A-i-o) Igo-- -ko -oa-c-ed Lop- t1,2,►1 1,-t rf S-frit-i-rw r <br /> z <br /> _ o <br /> En <br /> rt <br /> Date of staff site visit: bti l 0i l VI Initials of site visit staff: VL < <br /> ial <br /> � r <br /> APPROVED BY LAND SERVICES OFFICIALc� ,(�1 DATE: l /7/2621 <br /> / iio <br /> -i CL ' <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF o m aa 0 <br /> tnni <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT o <br /> Page l of 2 �z e <br /> Burnett County,WI Land Use Application—Rev 5/2023 tv 3 1111 <br /> ro <br />