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10 <br /> CD <br /> LAND USE PERMIT APPLICATION — Burnett County, WI a <br /> Applicant Complete All Sections Below This Line <br /> a <br /> Permit Types and Fees:(Please,check appropriate boxes) C7 <br /> X 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 „ <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 n <br /> G� <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 < N <br /> Driveways/&Campground Structures $125 IWI State Statute 59.692(ly)Structures $350 0 <br /> Filling/Grading $150 113oathouse $500 a7 <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 tothree times the normal fee. <br /> CD <br /> *Communication Towers,Camping Permits&Signs require a different application form;see corresponding application,and fees. C <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 /> 0 <br /> 0 <br /> a <br /> e t 19200 County Road 40, Belle Plain , MN 56011 <br /> Property Owner's Mailing Address: <br /> 2?9q?- City State Zip 4 <br /> Property Site Address: /Sla"e l 4f• f)cin b--C j Li i k 3c) c <br /> O <br /> Contact's Telephone Number:952-994-6924 fl <br /> 0 <br /> Contact's Email:timberlandcottages@gmail.com <br /> **If staff has a question about this application,you will be contacted via email. Make sure your email address is N ro <br /> legible and your email provider will accept emails from the following addresses: @BurnettCounty.org and . <br /> @BurnertCountyWI.gov <br /> t7 <br /> Legal Description of Property:7,1f 0,0,kX-c:1s4 rin P( pd ct +-d Vova r/ k/`I t XLC LOT—/ I <br /> Section#: l Z Town#: 140 N Range#: / W Town of: J a C-i S C)�—, <br /> *Attach additionalpage if neededfor lengthy description OR attach a copy of the deed OR attach tax system propertypage.* F x <br /> v C7 <br /> Tax ID#(1-5 digit number;found on tax statement): �95-9 H <br /> Proposed Use of Structure/Addition: Home/Cabin --Z <br /> Anticipated Start Date: /�Sf p (Home/Cabin;Commercial Business;Bedroom;Deck;etc) � (n <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 /> oftt4- au k4i 1Acis � <br /> �I,�►t l t;ln� r►o E -[v .r?K{eed 3 bedr rnf t/ <br /> c_ � x Fee Rec: <br /> `5 C�1. nb1 � I sPA -6v- �M8-,-\ T� Check#: <br /> r <br /> z cry <br /> Date of staff site visit:t &zS 4sl/Z'F S Initials of site visit staff: 4. < Q <br /> n M <br /> APPROVED BY LAND SERVICES OFFICIAL.-6 ,( �U/2� ,c DATE: 15� 2 y `��°Cn W <br /> mFU <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF N � <br /> z o or; <br /> r m cSIGNED PERMIT APPLICATION IN PLAIN SIGHT �� n <br /> Page 1 of 5 <br /> Burnett County,WI Land Use Application—Rev 5/2023 d <br /> y <br /> a <br /> b <br />