Laserfiche WebLink
A <br /> LAND USE PERMIT APPLICATION —Burnett County, WI a 1ro <br /> Applicant Complete All Sections Below This Line a' <br /> Permit Types and Fees(Please,check appropriate boxes) d <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 p <br /> XAccessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 _r g <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 I <br /> l <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 EL', I <br /> 3 <br /> Filling/Grading $150 Boathouse $500 <br /> v <br /> Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 5 qk <br /> a <br /> *NOTE:After-the-fact permits(permit acquired after construction has begun)may cost up to three times the normal fee. q <br /> b <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. a "' <br /> 0 <br /> ill <br /> Property Owner's Name:SM Wolf Holding LLC DBA TIMBERLAND COTTAGES c C� <br /> Q. W i <br /> Property Owner's Mailing Address: 19200 County Road 40, Belle Plaine, MN 56011 n c 0 <br /> City State Zip (i _.\ <br /> II'' <br /> Property Site Address:`i Li(2 5 1=Le et, .}-'i ' Ccu , o <br /> Contact's Telephone Number:952-994-6924 g <br /> d <br /> Contact's Email:timberlandcottages@gmail.com D <br /> **If staff has a question about this application,you will be contacted via email. Make sure your email address is N ro <br /> legible and your email provider will accept emails from the following addresses: @BurnettCounty.org and 5 °° N <br /> @BurnettCountyWI.gov tl° N <br /> r7 v <br /> Legal Description of Property: ck-e/Pa /COL'h a"'\ "o t/c-Afu s�v v, I fad 4. -`�'c <br /> Section#: /CU Town#: `AU N Range#: /S" W Town of: J c C k S pry c4 <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* d E x <br /> d <br /> Tax ID#(1-5 digit number;found on tax statement): Co Z H L4 <br /> Proposed Use of Structure/Addition: Home/Cabin N <br /> Anticipated Start Date: I' SA-I2 (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) O <br /> Building Contractor:Timberland Cottages Sewer Installer:Jackson Plumbing <br /> z <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY xl <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: — <br /> o m -F t as k--e .s 0` <br /> INPOL5 rtl Ana} -b -ccc w 5 bxclr S -2z1 "(J2 I -i/ i h—n <br /> x Fee Rec: 4+ L-2 <br /> � o1 ��((etd 4 16 6014+ 5 Check#: I ('5 1 <br /> a <br /> z <br /> cl <br /> rn <br /> Date of staff site visit: 04 l oi 1 Zol 4 1111114Initials of site visit staff: 14( V L < <br /> n r_ <br /> APPROVED BY LAND SERVICES OFFICIAL t Atkne4ATE: II 17 2192q v <br /> UPON APPRO <br /> VAL: APPLICANT MUST POST COPY OF o 5 5 Po 0 <br /> g ca N ifill <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT . 0 N <br /> Pagelof5 <br /> Burnett County,WI Land Use Application—Rev 5/2023 0 t _ U111 <br />