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• LAND USE PERMIT APPLICATION—Burnett County, WI b tr <br /> g <br /> b <br /> Applicant Complete All Sections Below This Line c <br /> Permit Types and Fees(Please,check appropriate boxes) t7 <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 ii‹) 1)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 o Ilk <br /> r <br /> Filling/Grading $150 Boathouse $500 CA <br /> A) <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. i <br /> •v <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. i �' <br /> Property Owner's Name:Jeff&Patti Miller o W 3 <br /> o <br /> a t <br /> ___ 1-- <br /> Property Owner's Mailing Address: 19635 Erin Avenue, Prior Lake, MN 55372 P'. <br /> 2,050 City State Zip E <br /> Property Site Address: _26746 High Ridge Trail,Webster,WI 54893 o N <br /> Contact's Telephone Number: 952-261-5266 a ° <br /> d <br /> Contact's Email: jmiller33163@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 address: @BurnettCountyWl.gov (IQ <br /> rICI LOT 3 CSM 5299 VOL 30 P 127 RECORDED AS DOCUMENT 482919(NE NE&NW NW) C7 N '\ <br /> Legal Description of Property: s <br /> Section#: SO8 Town#: T39 N Range#: R14W W Town of:Rusk if .. J (V <br /> � <br /> *Attach additional page needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* c <br /> , ,o <br /> Tax ID#(1-5 digit number;found on tax statement): 36625 00 <br /> Proposed Use of Structure/Addition: Home/Cabin ,3 7.7 <br /> Anticipated Start Date:September 2024 (Home/Cabin:Commercial Business;Bedroom;Deck;etc.) <br /> c.A 7S <br /> Building Contractor:Walters Sewer Installer:T.L. Sinz Plumbing RL Inc. --1) <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY 5 <br /> r z <br /> r; THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> V tvlf tf at S.i-b s MI <br /> c <br /> i? <br /> 01 <br /> VI <br /> DIVW"`„1 I�0"► 'CU KC2Qc1 WyL r s4N - 2q-14, 7rn <br /> Fee Rec:*3OJ <br /> Check#: 17cjyS <br /> n <br /> n <br /> m <br /> I -7— c l J <br /> y112,110241 <br /> Date of staff site visit: Initials of site 'sit staff:` ur- <br /> 1,, r--"" <br /> APPROVED BY LAND SERVICES OFFICIA[�r'/// DATE:I 23 �2% u)c m c) <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF 2.Q o ErEI <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT (4 <br /> Pagelof5 a - , <br /> Burnett County, WI Land Use Application—Rev 04/2024 L.L <br />