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/ i -a r. <br /> LB.A SE. PERMIT APPLICATIONBurnett County.:`' it c <br /> ;a <br /> Psrrrtit Types and rivespleaste,offeckRppropriate lj <br /> Dweiiing/Principai:�tre AttditiontA to Dtveiiing/PrinciealStructure •$200 <br /> Commerciaifin4iaustrl Structure. : '.$300 n/ er'ation: .Commercial/fndu ai Structure $200- a <br /> age;,:Shed..etc <br /> AceeS SttUCtulre( Sr ,. ... AF#elittfierat3ort:ta Accessory Structure $150 02 <br /> Accessory Structure Ofn rclai,NndttsttIai). ittort/Atteretion to Btinkhouse $130 '` <br /> xi Deck/Stairs/Pitto//RetaniingWali/Sidewaik Bunkhouse $2so, . <br /> .t .Driveways/&Campground Stt u€es ,...:$ : `r,Slate�50 M Strs ctutes. .. .. $3S0 <br /> Faina/Grading f$ .. aoarnot a...... $ - • <br /> ^ <br /> .�Solar Panels.(Stand alone or roof mounted) $1SO Permit Extension It Year Extension-Mowed.Once) $ <br /> t <br /> KNOTS;After-the-fact permits(perrrmit acquired after.Construction has begun)nun/cost up to throe times the normal fee, <br /> *communication.r'oneers,Camping Permits&Signs require.a d/fferent application form;see corresponding application,and fees <br /> *tor 'Itot't,sti 00*e wit be ot:0041U aceess011f 040ttiteS,such OP perio4 landis:Grgos:ett, r t <br /> c <br /> 1 <br /> Property:Owner'$Nano: s t 1 }c7x ["S w <br /> .PrOperty Owner' ! .d. s; /9% .. t/h?..Pt Siiptko,ee 7r1/0 ‘r .7 . . i . <br /> / ty gime Zip a E <br /> Property si'te�- . . : a ��`�. . �� 1> �'� ;l��• <br /> Contact's Telephone Number ',3 V'6 O 9 <br /> Ctit3Ct'a I~ttioil rti <br /> **if staff ea a qtaiitien about this applibatio .you v l h ikititacted viaen:latl Make sure your a naileddxess is ' <br /> legible aitdy*;iutrmil 00 will.accept a at4K is to110*.i ;Biidtess:i@BiiniettCtuti4yWl.igOir I <br /> cif <br /> Legal Description of Property: , I*jl(.5 . J U Je c\11I1ryam. 1a" r'. ? <br /> Section#- , Town#: :1/0 N Range : . : W Townof:.3 t: ',, tl. c • p <br /> *Attach additional:page if neededfarlengthy descr€ptio t OR attach a copy of the deed OR.attach tax:cwtern property e.I .M: <br /> Tait ID##€I-S;digit number-.found on tax:stst eitj<. 3 '1 .. : 0— <br /> proposed Use of'Structure/Ad4iti . Girt.N 1et�l -ec _, f\4 �,,,'_ ,, <br /> Anticipated S Date; /—/' y o,nr»t fte ;#ck�:e�) <br /> _ 00 <br /> Building Contra �2)-f h�tutlttr W <br /> ARA;D N » lYSIN - ..... z \N <br /> ------THIS PVR11 IT IS S JECT TO ALL CO tTiO LISTED BELOW. 1": 74 <br /> 0 fii/ /5 . ti' ➢'N C c //�f a S Ail �",-7i e°'1� i i L U/9- 2 340. . : k <br /> :Fee. ; 1./54t.-3 <br /> 1 Check 511,2 <br /> K <br /> Date of staff site v z3/�z� :l s I.G, <br /> � � <br /> APPROVED BY LAND SERVICES OFFICIAL: ZD IL Vfil <br /> Ihoolit, � :: -.'...,:;'.;i:. '�::fir:.{:}�'Vj'' 4 \ <br /> yr:: :: _ <br /> � rizH <br /> n 00 <br /> „ o o r= <br /> w <br /> CD <br /> • <br /> Per 1of3 <br /> Burnie.County,WI Land Use Application---.Rev 12/2023 (...._ <br />