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LAND USE PERMIT APPLICATION — Burnett County, WI t~ <br /> Applicant Complete All Sections Below This Line 7. c <br /> Permit Types and fees Please check appropriate ° 1 <br /> yp � boxes) `� <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 0 <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 O <br /> 2 Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 <br /> g <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 ° <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 o <br /> Filling/Grading $150 Boathouse $500CA ^ <br /> Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 <br /> al— Fr <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. `D <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. o . <br /> o <br /> Property Owner's Name: Ty Slonneger .11 <br /> c Ns N <br /> o <br /> Property Owner's Mailing Address: 28558 Irish Lane Washington IL. 61571 .w —`C <br /> City State Zip 4 <br /> Property Site Address: 28365 Kilkare, Danbury, WI o <br /> Contact's Telephone Number: 309-635-6294 a <br /> Contact's Email: Ty@rnselectricinc.com <br /> .-- <br /> **If staff has a question about this application,you will be contacted via email. Make suret your email address is N ,0 <br /> legible and your email provideivyi a cep grmil 9f ov8e fQl vitig_a cress: asettC u tyent.gov 5 r -.1 1'V C M J VL Ly Y l3 RecordedN <br /> Legal Description of Property:477928 (GOV LOT 1) d W <br /> Section#: 23 Town#: 40 N Range#: 15 W Town of: Jackson (q• N <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* cn <br /> o m <br /> Tax ID#(1-5 digit number; found on tax statement): 36287 lj tj,1 L d <br /> Proposed Use of Structure/Addition: Storage ,.3 <br /> Anticipated Start Date: 8-5-24 (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) --- f; <br /> Building Contractor: None Sewer Installer: None u, O 5 <br /> 0:3 AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY � z <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: 8 z <br /> rn <br /> 1) tv1t+ ot, Noa c k-s <br /> trl <br /> rn <br /> 0 s-0f-a�,e co ca,nn o f be gedL Y hJvO + l ►kcI.K!v h 'i Fee Rec3Obte <br /> °z Check#: al <br /> r <br /> to <br /> A <br /> h7 <br /> C7 <br /> Date of staff site visit: ?I S Initials of site visit staff: i n (j <br /> /p / V,'APPROVED BY LAND SERVICES OFFICIAL: /r� DATE: 1ZDCD C <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF y 0 <br /> 0 o C <br /> CD = IV <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT <br /> Page l of 5 3 t <br /> LL J <br /> Burnett County, WI Land Use Application—Rev 04/2024 <br />