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LAND USE PERMIT APPLICATION —Burnett County, WI Cl) <br /> Applicant Complete All Sections Below This Line <br /> Permit Types and Fees:(Please,check appropriate boxes) n. <br /> A M <br /> X Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 c) <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 p <br /> X Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 1 <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 <br /> 0 <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 0 <br /> Filling/Grading $150 Boathouse $500 IP <br /> P <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. l <br /> RV <br /> *Communication Towers,Camping Permits&Signs require a different application form;see corresponding application,and fees. r " !r <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. o ' 16 <br /> z ° <br /> Property Owner's Name:SM Wolf Holding LLC DBA TIMBERLAND COTTAGES . N <br /> 0 r . <br /> 0 <br /> 0. <br /> Property Owner's Mailing Address: 19200 County Road 40, Belle Plaine, MN 56011 .0 <br /> a <br /> City State Zip E <br /> Property Site Address: o <br /> Contact's Telephone Number:952-994-6924 a <br /> d <br /> m <br /> Contact's Email:timberlandcottages@gmail.com <br /> **If staff has a question about this application,you will be contacted via email. Make sure your email address is N b <br /> legible and your email provider will accept emails from the following addresses: @BurnettCounty.org and 0 °Q <br /> '5- <br /> @BurnettCountyWI.gov 00 <br /> i r � p d <br /> Legal Description of Property:11C-4 Suit-- / �4 4Ci �c l rr0A 40 \7�'-�� �l � lU a. <br /> 0 <br /> Section#: /Z Town#: 90 N Range#: iS W Town of: 0—CACt-56^ `C) ci, <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system o erty page.* C7,1 o <br /> Tax ID#(1-5 digit number; found on tax statement): 8 '7 q . <br /> -i c.-1 <br /> Home/Cabin <br /> Proposed Use of Structure/Addition: J <br /> Anticipated Start Date: Pt-5/P P (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) Q <br /> Building Contractor:Timberland Cottages Sewer Installer:Jackson Plumbing <br /> z <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> (1A <br /> 14dc oAX Irekbook, u?s'ittna W5 <br /> 'Dwtl AAA- •e witi. Li0C4 \NA* per\ <br /> 1)ueAkiv VVB'F 4e 1.� �JutMbwti5 � Si4sU-zei- 1"- EA Fee Rec:'�t�JV— <br /> g o Check#: /IV <br /> m <br /> r <br /> GA <br /> Date of staff site visit: 7r I I`7,0"U'j Initials of site visit staff: l7L zliiil <br /> �1 / n n <br /> APPROVED BY LAND SERVICES OFFICIAL: 1 ui . i`DATE: lr7/Zo7J'( W L:: 0 <br /> - Z.B r-- <br /> a . lnnf <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF o N . ® U u IJ <br /> z Do _ o <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT <br /> Page 1 of 5 <br /> Burnett County,WI Land Use Application—Rev 5/2023 �C J; <br />