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LAND USE PERMIT APPLICATION—Burnett County, WI & 0 <br /> Applicant Complete All Sections Below This Line -' F <br /> Permit Types and Fees(Please,check appropriate boxes) W <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 ,..t. <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure bnn__ \o <br /> Accessory Structure(Garage,Shed,etc.) $150 x Addition/Alteration to Accessory Structure C�$150 <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse 150 \ ~ <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 g ----\ <br /> , <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 c <br /> Filling/Grading $150 Boathouse $500 \-\ cn111 <br /> Solar Panels(Stand alone or roof mounted) $150 Permit ExtenslprldM'ear Extension-Allowed Once) $100 W <br /> w <br /> "NOTE:After-the-fact permits(permit acquired after construction has begun)may cost up to three times the normal fee. • <br /> ^o <br /> *Communication Towers,Camping Permits&Signs require a different application form;see corresponding application,and fees. <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. g <br /> z 1 <br /> o <br /> Property Owner's Name: Timothy K & Leslie A Masterson '" <br /> E <br /> . <br /> Property Owner's Mailing Address: 244 12th Ave N, Hopkins, MN 55343 _ ` <br /> City State Zip E <br /> Property Site Address: 27525 Thompson Bay RD, Webster, WI 54893 o <br /> _ IlkContact's Telephone Number: 651-442-1638/612-490-3165 320-212-1882 a <br /> timlesliemaster@icloud.com .. bobchappa@gmail.com a <br /> Contact's Email: <br /> **If staff has a question about this application,you will be contacted via email. Make sure your email address is N kiii <br /> legible and your email provider will accept emails from the following address: @BurnettCountyWl.gov °�• <br /> °' <br /> 5 <br /> Legal Description of Property: 07-012-2-40-15-36-5 05-003-032000 0 <br /> y <br /> Section#: S36 Town#: T40 N Range#: R15W W Town of: Jackson <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* c' <br /> o K <br /> Tax ID#(1-5 digit number;found on tax statement): 6133 = o <br /> Proposed Use of Structure/Addition: Fish House storage of fishing boating equipment H <br /> Anticipated Start Date: 5/1/2024 (Home/Cabin;Commercial Business:Bedroom:Deck;etc.) <br /> x <br /> Building Contractor: Bob Chappa Sewer Installer: j <br /> W <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY Z <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW:/G 4—I pia/ ./ -Gr /ri> . offextotiS/ d1 0r�U!�� K� / 15z. <br /> �(,Qp� 7 he u 5� �r A u''`'tQ� "l,,`Q / �O�. > Fee Rec:/ Z Check#: 5._ 1c.7 <br /> zxi <br /> 3 s- 4 ✓'/ G�i1 `�ttlAS S i 2 71�1/,S 9JL°9 ZsQ'!Omve 7 r <br /> PGA9/o 7 G1/ Su7�1)T G G p Wo/ ce </ vurS i 0m< <br /> o <br /> 513/Z`� G �t lcn <br /> Date of staff site visit: I ' ials of sit • ' staff: r <br /> APPROVED BY LAND SERVICES OFFICIAL: DATE: 00em co —0 C <br /> UPON APPROVAL: APP ICANT MUST POST COPY OF 2 [ffii <br /> d 0 `c r== <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT Q <br /> Page 1 of 5 2 <br /> Burnett County,WI Land Use Application—Rev 04/2024 �` JJ <br />