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LAND USE PERMIT APPLICATION — Burn 't County, WI <br /> Applicant Complete All Sections Below This U.- 0: <br /> c1 <br /> 0. <br /> Permit Types and Fees:(P/ease,check appropriate boxes) <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 \ 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 < o+ <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 r <br /> Filling/Grading $150 Boathouse $500 cn <br /> Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 6 • <br /> F <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. 0 i <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. ,rr, i <br /> in <br /> Property Owner's Name:SM Wolf Holding LLC DBA TIMBERLAND COTTAGES W N '� <br /> 1 <br /> Property Owner's Mailing Address: 19200 County Road 40, Belle Plaine, MN 56011 w n 0- 1 <br /> City State Zip W <br /> I t <br /> Property Site Address: o y <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 b ` <br /> legible and your email provider will accept emails from the following addresses: @BurnettCounty.org and =. °Q <br /> @BurnettCountyWl.gov at; <br /> _ tt t7 <br /> Legal Description of Property: /(C QS VIC- (S/d.wid PA.d, l i .'-, + On7A ci \I%1(.0.rC._.-' 3. <br /> J J <br /> Section#: (Z Town#: /O N Range#: `5- W Town of:JA L kse.-- cn <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* — o x <br /> Tax ID#(1-5 digit number; found on tax statement): 2n5 1 y <br /> Proposed Use of Structure/Addition: Home/CabinC.1 <br /> Anticipated Start Date: (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) <br /> CD <br /> Timberland Cottages Jackson Plumbing <br /> Contractor: g Sewer Installer: <br /> z <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY x <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> tiN <br /> 0 nllee4 al S�e,-I'bcc.c-S <br /> b4,,04i,i;lm a+ -f t kxca i 3 6clroylr'S per SAiNk-2/4-[3 3 = Fee Rec:' J_r� <br /> (_ C�� "QQ���� �� ' � � � f" YesfrI7CM <br /> Check#: /jY <br /> rz <br /> Y ttkOAKI 10,0% CUkn r 4-- k liltd 4{ V lwyltun ►'l i P 9 --�--= 1:i <br /> Date of staff site visit: 513/z111 Initi: s of site visi% staff: GL Kr r �16 <br /> / UuI! <br /> APPROVED BY LAND SERVICES OFFICIAL: ,i ,/�.�I/, %%�f DATE: 5D 02 cn m 0 <br /> m c <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF N w RI <br /> 0 O r-1 <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT N imi <br /> < <br /> Page 1 of 5 rn g. <br /> Burnett County,WI Land Use Application —Rev 5/2023 y NNW <br />