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LAND USE PERMIT APPLICATION—Burnett County, WI a ro <br /> Applicant Complete All Sections Below This Line <br /> CD <br /> Permit Types and Fees:(Please,check appropriate boxes) <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 <br /> e8 <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 `c <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 /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 � V <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(ly)Structures $350 < �1 <br /> Filling/Grading $150 1 lBoathouse $500 c v` <br /> Six Month Camping Unit(One Per Year) $100 Permit Extension(1 Year Extension-Allowed Once) $100 <br /> *NOTE:After-the-fact permits(permit aquired after construction has begun)may cost up to three times the normal fee. <br /> *Communication Towers&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 /> Bryan and Amanda Engelson <br /> Property Owner's Name: z <br /> 0 <br /> 21340 Hytrail Circle Lakeville MN 55044 0 <br /> Property Owner's Mailing Address: 0 1 <br /> City State Zip v <br /> 7114 S Devils Lake Drive Webster WI 54893 RR. <br /> n <br /> Property Site Address: � W <br /> Contact's Telephone Number:952-457-0695 <br /> o <br /> a - a <br /> Contact's Email:amandaengelson@gmail.com N e <br /> Legal Description of Property: Lot 1 CSM Vol. 2 Page 23, CS # 312 <br /> Section#:4 Town#:39 N Range#: 16 W Town of:Meenon <br /> *Attach additionalpage if neededfor lengthy description OR attach a copy of the deed OR attach tax system propertypage.* d N <br /> Tax ID#(1-5 digit number;found on tax statement): 11150 W N <br /> Proposed Use of Structure/Addition: Seasonal <br /> Anticipated Start Date:May 2025 (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) <br /> Burch Construction/Wausau Homes Dan Burch / Burch Plumbin r7 <br /> Building Contractor: Sewer Installer: g <br /> ti <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY C)� <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: O <br /> **The applicant needs to contact their UDC Inspector to determine if a permit is needed from them prior to <br /> ANY construction taking place./or any dwellings,dwelling additions,manufactured homes,manufactured z <br /> home additions,and bunkhouses. <br /> D Meth 0 3&H,2OCiS <br /> 2 Dw�='I Yvo+ -f- . v e e d <br /> v <br /> F <br /> (� Folbw � y�J-f,-tc�l'c�S � fm��� Su.r--dace c>" f`���en�e� Cv <br /> ( <br /> y� m Pl��itia� 5/IZ�Z(� Fee Rec:5� <br /> y —x a�I,v�,Q,(�t' J be (uylt7VP•� `� ( I e Check#:�Y�C �S-hng m <br /> q1aDate of staff site visit: ZOZS Initials of site visit staff: G z <br /> 7� d <br /> APPROVED BY LAND SERVICES OFFICIA DATE: ==� <br /> Uutl <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF a - <br /> `° <br /> CD <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT <br /> oo <br /> FIR <br /> co c IV <br /> Transcendent: - Page 1 of 4 <br /> Burnett County,WI Land Use Application—Rev 12/2020 3 <br /> Laserfische: - � � <br />