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CA <br /> r" <br /> LAND USE PERMIT APPLICATION —Burnett County, WI ro <br /> s <br /> Applicant Complete All Sections Below This Line ry <br /> a <br /> Permit Types and FeesfPlease,check appropriate boxes) C7 <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 � r, <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 -Q <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 0 7- <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(ly)Structures $350 <br /> Filling/Grading $150 Boathouse $500 <br /> r, <br /> Solar Panels(Stand alone or roof mounted) 1$150 Permit Extension(1 Year Extension-Allowed Once) $100 ' <br /> iv <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. fD <br /> r � <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. <br /> z <br /> Property Owner's Name:Philip&Lynn Stromberg z, <br /> °o <br /> Property Owner's Mailing Address: 6761 Old A <br /> Webster WI 54893 <br /> � n <br /> City State Zip <br /> Property Site Address:6761 Old A Webster,WI 54893 a v <br /> 9442688- <br /> Contact's Telephone Number: 715- <br /> d <br /> v <br /> Contact's Email: ptstromberg@gmail.com <br /> **If staff has a question about this application,you will be contacted via email. Make sure your email address is r <br /> legible and your email provider will accept emails from the following address: @BurnettCountyWl.gov °O <br /> 5 <br /> Legal Description of Property: E 5A OF W 10A N1/2 NW SE o <br /> Section#:03 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.* <br /> Q <br /> Tax ID#(1-5 digit number;found on tax statement): 11143 CN <br /> Proposed Use of Structure/Addition: Solar array for power production in main residence <br /> Anticipated Start Date: 4-14-2025 (Home/Cabin:Commercial Business:Bedroom:Deck:etc.) <br /> Building Contractor: Copycat Hearth & Home Sewer Installer: <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY m z <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: o z <br /> aO <br /> �S <br /> >11 <br /> y <br /> 'I <br /> Fee Rec: J (11- <br /> °z Check#:�i <br /> r <br /> m <br /> a r <br /> Date of staff site visit: 3 ZOZS Initials of site visit staff: 67 a w <br /> Q <br /> �� <br /> APPROVED BY LAND SERVICES OFFICIA�� '�L/ ��1� (Y�J DATE:? m c° m <br /> � � W <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF W 0 <br /> 00 <br /> C <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT <br /> CD FU <br /> Page 1 of 5 3 <br /> Burnett County, WI Land Use Application—Rev 11/2024 <br />