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.. r <br /> LAND USE PERMIT APPLICATION-Burnett County, WI 0. <br /> a• <br /> Applicant Complete All Sections Below This Line "6. <br /> CD 1 <br /> Permit Types and Fees(Please,check appropriate boxes) I a <br /> d <br /> x Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 <br /> 2. <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 o <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 CD <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 G-. <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 ce <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 r ib <br /> • <br /> Filling/Grading $150 Boathouse $500 li <br /> Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 <br /> w <br /> *NOTE:After-the-fact permits(permit acquired after construction has begun)may cost up to three times the normal fee. *M+ <br /> *Communication Towers,Camping Permits&Signs require a different application form;see corresponding application,and fees. i <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. 2. <br /> z <br /> Property Owner's Name:Thomas and Michelle Herr c i^ <br /> Q. <br /> Property Owner's Mailing Address:4961 Bartlett Blvd Mound, MN 55364 0 W , <br /> City State Zip E <br /> Property Site Address: .5160 .t'fL ZHic G Dr o y It <br /> Contact's Telephone Number:952.913.4199 d <br /> Contact's Email:thomas.herr.21@gmail.com - ~ <br /> **If staff has a question about this application,you will be contacted via email. Make sure your email address is N W <br /> legible and your email provider will accept emails from the following addresses:@BurnettCounty.org and a' w N <br /> @BurnettCountyWI.gov U., <br /> Legal Description of Property:Lot 4 - Lost Acres, Danbury, WI 54830 . <br /> Section#:19 Town#:41 N Range#: 15 W Town of:Swiss ,--C <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* 0 H <br /> Tax ID#(1-5 digit number;found on tax statement):22695 d <br /> home r N <br /> Proposed Use of Structure/Addition: Secondary � � <br /> Anticipated Start Date:5/15/2023 (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) .._ <br /> Barido Construction/Wurzer Buiide TBD <br /> Building Contractor: Swer Installer: z Li) <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY PJ <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: _ <br /> 0 vIn + a,U W s <br /> ID Ni—O'n ho- —o Me ecl 3 bed.► mS ytx SIN -2u 'gL AY- <br /> _ <br /> Fee Rec: <br /> C)D sL 1-1.0+ -0 a( ecd 4C)�+ \i'19-,t011-t- V611'I bn ci Check#: r2 <br /> r <br /> a <br /> z <br /> 3 Date of staff site visit: I Oil i'/ Init' Is of site isit staff orn <br /> CD <br /> < <br /> APPROVED BY LAND SERVICES OFFICIA . DATE:q/2 /2b2q m r <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF o V_ 0)2 3 N <br /> lifil <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT i, g N <br /> Page 1 of 5 < fa 5. t� <br /> Burnett County,WI Land Use Application—Rev 3/2023 0 �` w inril <br /> .ti L.` �J <br />