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LAND USE PERMIT APPLICATION —Burnett County, WI <br /> Applicant Complete All Sections Below This Line <br /> a <br /> Permit Types and Fees:(P/ease,check appropriate boxes) A d <br /> X Dwell ing/PrincipaI Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 \p� <br /> X Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 M <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 0. <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(ly)Structures $350 0 <br /> Filling/Grading $150 113oathouse 1$500 <br /> m <br /> Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 7 <br /> NOTE:After-the-fact permits(permit acquired after construction has begun)may cost up to three times the normal fee. ,b <br /> *Communication Towers,Camping Permits&Signs require a different application form;see corresponding application,and fees. `D <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:SM Wolf Holding LLC DBA TIMBERLAND COTTAGES <br /> °o <br /> a � <br /> Property Owner's Mailing Address: 19200 County Road 40, Belle Plaine,MN 56011 <br /> 1353 �Gti Cq State Zip ° W <br /> Property Site Address:�(��X 7 pGC�-h I A nVC1!� U= <br /> � <br /> c <br /> Contact's Telephone Number:952-994-6924 ¢ <br /> d <br /> Contact's Email:timberlandcottages@gmail.com CD <br /> **If staff has a question about this application,you will be contacted via email. Make sure your email address is N ti N <br /> legible and your email provider will accept emails from the following addresses: @BumettCounty.org and <br /> @BurnettCountyWI.gov °0 G <br /> � N <br /> Legal Description of Property:i c 7Cx I�c�C� �b "J�'y� 21 Er. <br /> Section#:_I U Town#: cr U N Range#: /S- W Town of: �)c�C�SU✓� <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system propertypage.* Q <br /> Tax ID#(1-5 digit number;found on tax statement): (ocl o t] <br /> H � <br /> Proposed Use of Structure/Addition: Home/Cabin <br /> Anticipated Start Date: Ac"4' (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) O O <br /> Building Contractor:Timberland Cottages Sewer Installer:Jackson Plumbing <br /> z <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> Z� a <br /> l:/ ��� �(,�'l(10-�- r� �(� .�0✓ �u.�•YI�I�� ►cv"'d I J�^ '�� x Fee Rec: <br /> d Check#:1 \OJ <br /> r <br /> a <br /> z <br /> 0 <br /> Date of staff site visit:sL/2L?-5 4 S�Zq Initials of site visit staff.<6 d-L.� <br /> APPROVED BY LAND SERVICES OFFICIAL r �� DATE:S Z Z�ZS CL <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF <br /> o <br /> I NED PERMIT APPLICATION IN PLAIN SIGHT ' <br /> SG <br /> Page 1 of 5 <br /> Burnett County,WI Land Use Application—Rev 5/2023 y ��-------, <br /> b <br />