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. 4 ')L pi-PrekNE1) M. 1 <br /> LAND USE PERMIT APPLICATION—Burnett County, WI a b <br /> Applicant Complete All Sections Below This Line 5' z .p <br /> Permit Types and Fees(Please,check appropriate boxes) a <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 0 <br /> X Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 op <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 G <br /> Filling/Grading $150 Boathouse $500 <br /> a <br /> Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 0. <br /> 5 <br /> *NOTE:After-the-fact permits(permit acquired after construction has begun)may cost up to three times the normal fee. $ <br /> ro <br /> *Communication Towers,Camping Permits&Signs require a different application form;see corresponding application,and fees. 19 <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. a -. <br /> o t <br /> Property Owner's Name: James and Barbara Riehle 6' — �r <br /> 0 <br /> Property Owner's Mailing Address: 10950 Norell Ave North Stillwater, MN. 55082 <br /> C, State Zip 2 <br /> Property Site Address: 12475 North Gabrielson Lake Road Luck, WI. 5 853 o y <br /> Contact's Telephone Number: <br /> 651-500-9267 or 651-319-1533 a m <br /> N o <br /> Contact's Email: wildhockeyfans@msn.com or jriehle@mmm.com 0 <br /> **1f staff has a question about this application,you will be contacted via email. Make sure your email address is N b <br /> cb <br /> legible and your email provider will accept emails from the following address: @BurnettCountyWI.gov CIO <br /> 1Northwest Quarter of the Southeast Quarter,the NaBheaat Quarter of the Southeast Quarter,the Southwest <br /> Legal Description of Property: Quarter of the samheastQuarter and the Southeast Quarter of the SoutheastQuarter . <br /> Section#: 32 Town#: 37 N Range#: 18 W Town of: Trade Lake ii• N <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* <br /> Tax ID#(1-5 digit number;found on tax statement): <br /> 24230 0 x <br /> 0 <br /> Proposed Use of Structure/Addition: Accessory Structure -3 lV <br /> Anticipated Start Date: September 2024 (Home/Cabin,,Commercial Business;Bedroom;Deck;etc.) <br /> va <br /> Building Contractor: Self Sewer Installer: NIA —IcA <br /> 1`W1 <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY m z Q <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> U' <br /> p00 M.-et-4- SeckS o <br /> 0NoA- --Iv 1a4. Lts. -f-td- Ifitly 1a4-1 haV'� � ii Fee Rec: lJ'-V g <br /> 3 Check#: 7fSL) <br /> Fi <br /> in <br /> Date of staff site visit:111512�i41 Initials of site isit staffT g i _.:_....,-,.,.,__— <br /> IEi m its <br /> APPROVED BY LAND SERVICES OFFICIAL. DATE: m = I/". <br /> COPY OF 2 <br /> UPON APPROVAL: APPLICANT MUST POST � n � � <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT _c- = o <br /> 2 cc <br /> Page 1 of 5 <br /> Burnett County,WI Land Use Application—Rev 04/2024 <br />