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LAND USE PERMIT APPLICATION — Burnett County, WI a <br /> Applicant Complete All Sections Below This LineCD <br /> 7 <br /> Permit Types and Fees�Please,check appropriate boxes) aC <br /> Dwelling/Principal Structure $300 1 X jAddition/Alteration to Dwelling/Principal Structure $200 0 <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 \ 0 <br /> 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 /> X Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 °< <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(ly)Structures $350 r- <br /> Filling/Grading $150 Boathouse $500 N <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. <br /> -o <br /> *Communication Towers,Camping Permits&Signs require a different application form;see corresponding application,and fees. CD <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. <br /> z <br /> 0 <br /> Property Owner's Name: Sharon M. Kroll o .� <br /> a -fl <br /> Property Owner's Mailing Address: 4245 165 Avenue NE Ham Lake, MN 55304 <br /> City State Zip <br /> Property Site Address: 29343 CCC Road, Danbury, WI 54830 0 <br /> p 763-370-9663 ° <br /> Contact's Telephone Number: <br /> Contact's Email: Skidootrainer@yahoo.com or Sharon.Kroll@allina.com CD <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: @BurnettCountyWI.gov �' N <br /> Legal Description of Property: Lot 1 CSM V17 P220 (#331845) (N1/2 SW SE)MAP #3522 (IQ N <br /> o <br /> Section#: 02 Town#: 40 N Range#: R16 W Town of: O( 20) Town Of Oakland <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page. <br /> � O o <br /> Tax ID#(1-5 digit number;found on tax statement): 12903 N N d <br /> Recreation - new larger deck and screened porch <br /> Proposed Use of Structure/Addition: g p -� <br /> Anticipated Start Date: 5/1/25 (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) o C) <br /> Taking bids, Hermanson, Guenard x <br /> Building Contractor: 9 Sewer Installer: <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY z W <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: o <br /> 1 <br /> Q MEET— RL1— r5ET'�gcy-5 . Ca?,riG 4L y0 Fo oT' wE:fv? < � <br /> PRo pegrf C.in/E S'ETBR�-lam• y ca <br /> Fee Rec: <br /> O SEPTIL TgWK tiv, ?D Sc- 4l—oc r �R•wuC0 By ° Check <br /> z <br /> (o�(�zoz5. <br /> v C� <br /> Date of staff site visit:,?1311 Z5* -t, qI,125 Initials of site visit staff:3�j? <br /> b Q <br /> APPROVED BY LAND SERVICES OFFICIAL: \ DATE: Io Z02s m co <br /> :2 3 <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF y <br /> 00 <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT w <br /> Page 1 of 5 C <br /> Burnett County, WI Land Use Application—Rev 04/2024 <br />