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LAND USE PERMIT APPLICATION— Burnett County, WI g <br /> Applicant Complete All Sections Below This Line 5 ry 1 <br /> Permit Types and Fees:(Please,check appropriate boxes) y <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 `\ <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 N k <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 CV <br /> -, <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 r <br /> Filling/Grading $150 Boathouse $500 n •-- • <br /> : <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. <br /> r <br /> *items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. <br /> Property Owner's Name: Kevin Mesiar o .1: ^ <br /> Property Owner's Mailing Address:2229 Abbey Rd., Onalaska,WI 54650 E. N <br /> gi <br /> City State Zip ...C. <br /> Property Site Address:5133 County Rd C, Danbury,WI 54893 <br /> s <br /> G <br /> Contact's Telephone Number: (715)577-5422 <br /> C <br /> Contact's Email:mesiarkc@gmail.com <br /> **If staff has a question about this application,you will be contacted via email. Make sure your email address is N - 6' <br /> legible and your email provider will accept emails from the following address: @BurnettCountyWLgov °° t <br /> Legal Description of Property:Sec 17 Tn 40 Rg 15 NW NE(MFL CLOSED 37A) (SUBJ/ESMT#403942) Fl <br /> Section#: 17 Town#:40 N Range#: 15 W Town of:Jackson 5 .� <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* rn <br /> s H H <br /> Tax ID#(1-5 digit number;found on tax statement):5345 .-3 ' , <br /> Proposed Use of Structure/Addition: Home/Cabin H cJ/1 <br /> Anticipated Start Date:August 23,2024 (Home'Cabin;Commercial Business;Bedroom;Deck;etc.) <br /> 0 <br /> Building Contractor: Design Homes, Inc. Sewer Installer:Hopkins Sand&Gravel LLC p„^ <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY ° z Y� <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: c <br /> C1114)e+ aft GL x <br /> 0b2SSW - 12y CA <br /> ► n, n0A JO -C .eed 5 7e.�roo'mS fe''' SSW- y <br /> Fee Rec: 3CE)� <br /> htAttit-AN) nog Xeetd 4o�+ h�f �� rtS-h'►�� r Check#: I77 a <br /> Qnvy At be 064=6V,d/ rtmloVtd COns-kucAl Dr flumi kA <br /> m <br /> M g <br /> O <br /> aiffl <br /> Date of staff site visit: 7 4/1.0ij'Q _ Initials of site visit staff: C' <br /> r t<,-r ti cn <br /> ea Cr: 0 <br /> APPROVED BY LAND SERVICES OFFICIAL: DATE:7/iz 2Dz / o `.�°. N l� <br /> o c ,.. C=U <br /> UPON APPROVAL: APPLICANT N UST POST COPY OF ; cC <br /> -•'< r:a <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT a, UW <br /> Page 1 of 5 <br /> Burnett County, WI Land Use Application—Rev 04/2024 <br />