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LAND USE PERMIT APPLICATION — Burnett County, WI a <br /> N <br /> cn <br /> Applicant Complete All Sections Below This Line 5. va <br /> w <br /> Permit Types and Fees:(Please,check appropriate boxes) d <br /> X Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 <br /> C: <br /> CD <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 "1 O <br /> X( Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 <br /> Filling/Grading $150 Boathouse $500 <br /> Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 . <br /> *NOTE:After-the-fact permits(permit acquired after construction has begun)may cost up to three times the normal fee. <br /> *Communication Towers,Camping Permits&Signs require a different application form;see corresponding application,and fees. r !PIP*Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. o . <br /> fn o , <br /> Property Owner's Name:SM Wolf Holding LLC DBA TIMBERLAND COTTAGES N <br /> 0 <br /> 19200 CountyRoad 40, Belle Plaine, MN 56011 b <br /> Property Owner's Mailing Address: E n <br /> City State Zip E <br /> Property Site Address: o <br /> Contact's Telephone Number:952-994-6924 a <br /> d <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 <br /> legible and your email provider will accept emails from the following addresses: @BurnettCounty.org and o. tie <br /> @BurnettCountyWl.gov <br /> Legal Description of Property: (7(-cc,:(' I c,/ 1?C 1't fp ✓G s ,fir 11.t 1 kl U x�' `t• <br /> Section#: (3 Town#: '-/U N Range#: /5 W Town of: JGCk-Si_;'� v, <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system properly page.* b — V <br /> Tax ID#(1-5 digit number; found on tax statement): V 9.:(7=( II <br /> Proposed Use of Structure/Addition: Home/Cabin -, <br /> Anticipated Start Date: (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 m <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: I <br /> l%11/1?e,+ l;U/ S.e-/-txir kS liT\ <br /> p u;l ll no-l- �b t kf end 3 b-tartzals Sil 2L,-1Q4 <br /> y �� <br /> -k� x Fee Rec: <br /> (��l�-Eu�,J�A 9a>nay�2 t anno+ be USre -6r 4 Check#: /('/-5- <br /> 0 <br /> tri <br /> r <br /> a <br /> z <br /> e <br /> rn <br /> �6 3 6 Z11 Ini 'als of site visit staff: / L4 <br /> Date of staff site visit: v < < r_-. <br /> Crl n I11 <br /> APPROVED BY LAND SERVICES OFFICIAL. DATE: 5/3/2021/ <br /> ..3 CDW -E.3 C <br /> 70 <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF z N.3 Et <br /> r o0 C <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT w c <br /> Page 1 of 5 <rr, a <br /> Burnett County,WI Land Use Application-Rev 5/2023 , <br /> a <br />