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4 ' <br /> LAND USE PERMIT APPLICATION—Burnett County, WI a <br /> Applicant Complete All Sections Below This LineCD <br /> p <br /> a <br /> Permit Types and FeestPlease,check appropriate boxes) d <br /> w <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 p <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 CD <br /> Accessory Structure(Commercial/industrial) $200 Addition/Alteration to Bunkhouse $150 <br /> X Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 c <br /> Filling/Grading $150 Boathouse $500 <br /> Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 <br /> w <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 /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. 0 <br /> z <br /> 0 <br /> Property Owner's Name: Mark and Mary Anne Kuehn <br /> 0 <br /> a <br /> b <br /> Property Owner's Mailing Address: 8110 Premo Road Webster _ WI 54893 E. <br /> City State Zip <br /> Property Site Address: 8110 Premo Road Webster WI 54893 o y <br /> ZCD <br /> C <br /> Contact's Telephone Number: (612)803-3090 <br /> mark l� <br /> Contact's Email: .� <br /> **If staff has a question about this application,you will be contacted via email. Make sure your email address is �, <br /> legible and your email provider will accept emails from the following address:@BurnettCountyWI.gov 5 °O <br /> oa <br /> Legal Description of Property: Lot 2 CSM#4559 V25 P97(GL2)#432403 <br /> 4 <br /> Section#: 06 Town#: 39 N Range#: 16 W Town of: Meenon <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* V' <br /> o � <br /> Tax ID#(1-5 digit number;found on tax statement): 34065 d <br /> Proposed Use of Structure/Addition: Basement walkout patio c�1 <br /> Anticipated Start Date: 07/21/2023 (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) <br /> Building Contractor: Randt Masonry-Matt Randt Sewer Installer: N/A 14 <br /> +o <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY ° <br /> r z <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: c z <br /> y <br /> n <br /> (� ( , `n !` vn �Q � -bang lids by 511 Zo25 <br /> U k G�'[.(J U'lC6n I-f edx - -/ i V Fee Rec:26D <br /> O YF�(,t i Irk Y►1Q-/'l�� -t0� 0(0'�t DY1 T— <br /> z Check#:� <br /> m <br /> Date of staff site visit: Z 1D12q1Zq Initials of site 'sit staff: T d _ <br /> II120MAPPROVED BY LAND SERVICES OFFICIAL. DATE: QCn y <br /> • T MUST POST COPY OF W C <br /> UPON APPROVAL. APPLICANT <. <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT 00 N <br /> Page 1 of 5 <br /> Burnett County,WI Land Use Application—Rev 12/2023 � � <br /> —�� <br />