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LAND USE PERMIT APPLICATION— Burnett County, WI a <br /> Applicant Complete All Sections Below This Line 0 c <br /> Permit Types and Fees(Please,check appropriate boxes) <br /> d <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 -�f <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 G p <br /> X Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 W <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 ° N. <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 6- 'Z. b <br /> Filling/Grading $150 Boathouse $500 va <br /> w <br /> Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 6 <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. <br /> ,*Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. z .- <br /> 0 <br /> Property Owner's Name:Hans Hage -n <br /> 0 <br /> 0 <br /> n <br /> Property Owner's Mailing Address: 9657 Glacial Valley Road Woodbury MN 55129 Iw <br /> City State Zip <br /> Property Site Address:2827 Rolling Green Road,Spooner,WI 54801 z o <br /> Contact's Telephone Number: <br /> 651-271-4706 <br /> d <br /> Contact's Email:hans.hage@gmail.com <br /> **If staff has a question about this application,you will be contacted via email. Make sure your email address is N ,.t, N <br /> legible and your email provider will accept emails from the following address: @BurnettCountyWLgov = °° W <br /> 5' <br /> Legal Description of Property: NE NW o O <br /> Section#:32 Town#:39N N Range#:14W w Town of:Rusk (024) s <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* a, <br /> VA 0 <br /> Tax ID#(1-5 digit number;found on tax statement): 16307 N <br /> Proposed Use of Structure/Addition: Accessory structure - gazebo (open sides - no screens) �6 <br /> Anticipated Start Date:2/5/2024 (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) c� 1/7V.1 <br /> N/A - self and friends <br /> Building Contractor: Sewer Installer: <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY r z <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: 8 <br /> 0 flied- aUSt, <br /> m <br /> C <br /> n <br /> m <br /> zN0, 1O A � & 6 hi= a <br /> Fee Rec: 15 <br /> ° Check#: 3 oc'k, <br /> A l J <br /> Date of staff site visit: Z//2 202 y Initials of site visit staf / mg -,., u u U <br /> APPROVED BY LAND SERVICES OFFICIAL DATE:q, I /2o2'I bp er; <br /> m (� <br /> m _ cs W'YkIF' <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF 0 o <br /> m c IV <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT 5 Nlrin <br /> I ' <br /> Page l of 5 �` ..)j <br /> Burnett County,WI Land Use Application—Rev 12/2023 <br />