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. LAND USE PERMIT APPLICATION—Burnett County, WI r <br /> g r <br /> < <br /> Applicant Complete All Sections Below This Line �' <br /> A <br /> Permit Types and Fees(Please,check appropriate boxes) <br /> d <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 V,Coo <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 C) <br /> k.,es,\ <br /> . : <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 o <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 S' <br /> • <br /> Filling/Grading <br /> g/ g $150 Boathouse $500 <br /> Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 r <br /> *NOTE:After-the-fact permits(permit acquired after construction has begun)may cost up to three times the normal fee. $ <br /> b <br /> *Communication Towers,Camping Permits&Signs require a different application form;see corresponding application,and fees. CD <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. o -_ )tom <br /> o A <br /> Property Owner's Name:Thomas and Patricia Dudley <br /> 0 <br /> 0 <br /> Property Owner's Mailing Address: 28520 Kilkare Rd Danbury WI 54830 0 �� <br /> City State Zip ° <br /> Property Site Address:6841 Minerva Landing Rd Danbury WI \ <� <br /> c <br /> Contact's Telephone Number: <br /> 715-259-3257 C <br /> Contact's Email:northland001@centurytel.net <br /> **If staff has a question about this application,you will be contacted via email. Make sure your email address is N - <br /> o <br /> legible and your email provider will accept emails from the following address: @BurnettCountyWl.gov 0 <br /> 5 <br /> o. <br /> Legal Description of Property: Lot 7 CSM 1002 (v5/p47) b <br /> . [.... <br /> ri <br /> Section#:35 Town#:41 N Range#: 16 W Town of:Swiss <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* 'ClD <br /> Tax ID#(1-5 digit number;found on tax statement):22370 \ Y <br /> h �J Porch Proposed Use of Structure/Addition: Screen -i <br /> Anticipated Start Date: May 2024 (Home/Cabin;Commercial Business;Bedroom;Deck:etc.) V\ N <br /> Building Contractor:Northland Builders Inc Sewer Installer:NA N <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY ° z \IV W <br /> THIS PERMIT IS SUBJECT/ / TO ALL CONDITIONS LISTED BELOW:/ \ o x� V\ 0 <br /> 6 5 4 6 e- Go Inn 6/`t e V/G C e-Y'Tt A! Cd Sur,t.Ac c� frt4,9 C5 IA1 ) r <br /> ld �/Ale- 5°�7 AQG, /r5 no y�j€7 Aet4l-ec,J Ct / m <br /> „, ,, <br /> 1 t > a0 <br /> ZU Z,s ct eAlla i 1 1^1l 47 e-4 y Fee]Rec: <br /> / 2 Check#:3.2795 <br /> r <br /> in <br /> n <br /> M <br /> Date of staff site visit: y es/zez-5` Initi s of site visit aff: �i/ g a En <br /> cn co <br /> APPROVED BY LAND SERVICES OFFICIAL: DATE: 0572°2'51 CD B "..1 Oi <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF y c Iona <br /> 0o "' O <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT -ct, r <br /> iflfli <br /> Page 1 of 5 <br /> Burnett County, WI Land Use Application—Rev 04/2024 ----� <br />