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� b <br /> LAND USE PERMIT APPLICATION —Burnett County, WI Cr ro-, <br /> n H 1 <br /> Applicant Complete All Sections Below This Line � a. <br /> Permit Types and Fees:Please,check appropriate boxes) G <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 CD <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 p�` p <br /> X Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 ?�+\0 <br /> 11 Q$ Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 `\ <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 �- O <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(ly)Structures $350 0 <br /> Filling/Grading $150 Boathouse $500 <br /> m <br /> Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 !2 <br /> OTE:After-the-fact permits(permit acquired Fa ter construction has begun)may cost up to three times the normal ee. <br /> *Communication Towers,Camping Permits&Signs require a different application form;see corresponding application,and fees. , o <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. z <br /> Property Owner's Name: John and Cynthia Neeck " <br /> 0 <br /> 0 <br /> PropertyOwner's Mailing Addre=s: 681 Old Horlkins, Place Hudson V t 54t)1 r7 � <br /> City State Zip C <br /> Property Site Address: 24250 Daniel,Johnson Road Siren Wi 54872 Z <br /> O y <br /> � V <br /> Contact's Telephone Number: 715-220-8706 a <br /> C7 <br /> Contact's Email: lohnneeck@yahoo.coin <br /> **If staff has a question about this application,you will be contacted via email. Make sure your email address is N ti J <br /> legible and your email provider will accept emails from the following addresses:@BurnettCounty.org and . °0 W <br /> @BurnettCountyWLgov t7 <br /> Legal Description of Property:_ <br /> Section#: 12 Town#: 38 N Range#: 17 W Town of: Daniels <br /> *Attach additionalpage if needed.for lengthy description OR attach a copy of the deed OR attach tax system property page.* o x <br /> Tax ID#(1-5 digit number;found on tax statement): 2027 o <br /> Proposed Use of Structure/Addition: storage container and fire,.vood storage tent that we decided to keep N <br /> Anticipated Start Date: Pole shed is complete (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) $ C) <br /> • N <br /> Building Contractor: N/A Sewer Installer: N/A J <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 /> v►N P-cf Gall s?-� baO48. 404 We4141" Suck-, nausr� bt and-, <br /> Ntr� tD bt used -Foy hu,wl4A hoJ1 1+&+i rl <br /> Fee Rec:30C — <br /> Check#: () <br /> m <br /> r <br /> a <br /> z <br /> d <br /> Date of staff site visit: 5'c-U�Z�j I itials of site visit staff: <br /> APPROVED BY LAND SERVICES OFFICIA DATE: 5��9 ZDzS (a. <br /> C.n co <br /> UPON APPROVAL: APPLICANT MU T POST COPY OF '° 0. <br /> z m : C2 <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT 0 D a r- <br /> Page I of 5CD <br /> Burnett County, WI Land Use Application —Rev 5/2023 d <br /> a <br /> I <br />