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cn <br /> LAND USE PERMIT APPLICATION—Burnett County, WI 1 4 <br /> Applicant Complete All Sections Below This Line o� <br /> Permit Types and Fees:'Please,check appropriate boxes) . <br /> Dwelling/Principal Structure $300 ,'Addition/Alteration to Dwelling/Principal Structure $200 „ <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 <br /> 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 E. '° <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. a <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. ni. I <br /> z <br /> Ross Swenson <br /> Property Owner's Name: Q OA — i <br /> 28476 Blueberry Lane Danbury '\ <br /> Property Owner's Mailing Address: WI 54830 !r. �: r <br /> Same as above City State Zip ° k' ll`l <br /> Property Site Address: o r <br /> Contact's Telephone Number: 715-791-9441 <br /> Contact's Email: bebespapa@outlook.com g <br /> **If staff has a question about this application,you will be contacted via email. Make sure your email address is 09 <br /> legible and your email provider will accept emails from the following address: @BurnettCountyWL.gov . °0 <br /> 0 <br /> °° -__ <br /> LegalPrincess Pine Shores. Lot F <br /> Description of Property:P rtY F .--Z <br /> Jib Section#: 13 Town#: 40 N Range#: 17 W Town of: Union a Z <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* cn <br /> Tax ID*(1-5 digit number;found on tax statement): 25446 W p E <br /> Proposed Use of Structure/Addition: Home expansion -i I <br /> Anticipated Start Date: 5/13/2024 (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) C.5) <br /> Building Contractor: Anderson Construction Sewer Installer: NA G <br /> "- - <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY CI <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: z <br /> 0 N\sze,-.)- coa %.0-tocAuc_S g _ <br /> 2' bv,\yeA�t(1e) (1U - cc cud 2 be4ruynS px ( fl i -0,.IN 121043 c CC <br /> y <br /> Fee Rec: : ��_ <br /> 3 �At Si G�i0 I r 7 i5 ZoZy f check#: ` .. <br /> Date of staff site visit: 5./V ZL11 Initials of site visit staff: l I . =„ <br /> APPROVED BY LAND SERVICES OFFICIAL DATE: 5//(2/202 Q D <br /> CD 0 CW 0 <br /> 70 <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF B <br /> 00 C. <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT w <br /> Page 1of5 : 1.11111 <br /> Burnett County,WI Land Use Application-Rev 04/2024 (� <br />