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CD <br /> LAND USE PERMIT APPLICATION—Burnett County, WI 06. b <br /> � _ N <br /> Applicant Complete All Sections Below This Line <br /> a <br /> Permit Types and FeesfPlease,check appropriate boxes) C <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 <br /> c— <br /> Commercial/industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 r— p <br /> X Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 <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(ly)Structures $350 0 <br /> Filling/Grading $150 1 Boathouse $500 <br /> Solar Panels(Stand alone or roof mounted) $150 1 Permit Extension(1 Year Extension-Allowed Once) IS100 <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. <br /> z <br /> 9 <br /> Property Owner's Name: Carla &Troy Goetz N <br /> a <br /> Property Owner's Mailing Address: 2757 Sand Rd. Town of Dewey WI 54871 N <br /> City State Zip <br /> b' <br /> Property site Address:2757 Sand Rd. Town of Dewey WI 54871 0 <br /> G <br /> Contact's Telephone Number:(651) 775-3940 <br /> d <br /> Contact's Email:kenronsberg@comcast.net <br /> **If staff has a question about this application,you will be contacted via email. Make sure your email address is N -o <br /> legible and your email provider will accept emails from the following address: @BumettCountyWI.gov N <br /> oQ <br /> Legal Description of Property: 07-008-2-38-14-32-102-000-013000 d <br /> Section#:32 Town#:38N N Range#:14W W Town of:Dewey ' �Q <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* N <br /> W o � <br /> Tax ID#(1-5 digit number;found on tax statement):3585 N <br /> d <br /> i immn tt•� <br /> Proposed Use of Structure/Addition: Swimming Pool y �l <br /> Anticipated Start Date: 10/7/2024 (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) y W <br /> Building Contractor: <br /> Performance Pool & Spa Sewer Installer: °Q N <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY z <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: z <br /> ©Mee+ a SOAOaLkS. Cf►-};c u-t 'I St+-oo L�- -v Dk, NA <br /> ( See rev�s�d Ptrt� plan. �c�� tocc�-k;�n rvwve.d -� m�e.� `!5' Se.-t-back <br /> Ol S ti�m 1L 13 -CO(- -�4 FCC( Orl t v. J�1't�(.-RA l i'l�y Fee Rec: G <br /> -�w 1 S 4 Soumarka MU14 be t�- Jc{ S�1�t 0 Check#:�77 <br /> Sq . 612CI v)• <br /> NQ,I,v �arcce 6,(,i 14 be+~ 202o aid 2OZZ vieeds aand las Le �rm►+ b`( � C� <br /> l 0go7wov l0 25 <br /> Date of staff site visit: 'D Z Initials of site visit staff_ <br /> m co <br /> APPROVED BY LAND SERVICES OFFICIAL DATE: CD <br /> 1v CD <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF <br /> ^� <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT N1 <br /> 5 Cock and ckoin needed c>7 4C41k !id b� 5/1 /WZ5 Page 1 of <br /> Burnett County,WI Land Use Application-Rev 04/2024 <br />