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LAND USE PERMIT APPLICATION —Burnett County, WI a <br /> Applicant Complete All Sections Below This Line " <br /> Permit Types and Fees:(Please,check appropriate boxes) <br /> X Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 <br /> C7 <br /> CD <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 G <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 4 <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 ° <br /> Filling/Grading $150 1 Boathouse $500 �= <br /> 0 <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. .M- <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 /> Kinsel " <br /> Property Owner's Name:Jeff and Shelley c <br /> Property Owner's Mailing Address: 1035 Mercury Drive Shoreview MN 55126 o N <br /> City State Zip <br /> Property Site Address:28337 Bonner Lake Road,Webster,WI 54893 R. r) O <br /> Contact's Telephone Number:651-249-8099 0 <br /> Contact's Email:Jeff312196J@gmail.com -t> -c d <br /> Legal Description of Property: Lot 2 CSM Vol.4 Page 38 1° <br /> �— <br /> Section#:24 Town#:40 N Range#: 15 W Town of:Jackson <br /> vo <br /> *Attach additionalpage if neededfor lengthy description OR attach a copy of the deed OR attach tax system property page.* p <br /> Tax ID#(1-5 digit number;found on tax statement):5560 <br /> Proposed Use of Structure/Addition: Seasonal <br /> Anticipated Start Date: September 2025 (Home/Cabin;Commercial Business;Bedroom:Deck:etc.) x <br /> Building Contractor: Burch Construction/Wausau Homes Sewer Installer: Dan Burch/Burch Plumbing N <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: p a <br /> "The applicant needs to contact their UDC Inspector to determine if a permit is needed from then prior to <br /> ANY construction taking place for aky dwellings, dwelling additions,manufactured homes,manufactured z <br /> home additions,and bunkhouses. <br /> D me,+ u,u was <br /> btnxL-k►`n n o} -�t e-X(�e '� b e�1 ro�mS �e�' Sfl N• 25 -1 ot) <br /> Va-mfv -{o Le YQ,YYtt�j 0✓ S-I-ortj *[P-r' corls f yu(-+ w <br /> 4 Fee Rec:�— <br /> F'I-curp Shed 40 k re KOVQl e.� CIS (-�`tb�l b f Kf PYt4k- 101 �°� 2bZLp Check#: �J <br /> rs, <br /> Date of staff site visit:t? /7 ZS Initials of site visit staff �l <br /> APPROVED BY LAND SERVICES OFFICIA DATE: <br /> APPROVAL: APPLICANT MUST POST COPY OF 2— <br /> UPON C� <br /> CD - <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT <br /> ca � <br /> 0 <br /> ev <br /> Transcendent: - Page 1 of 4 cry r <br /> Burnett County, WI Land Use Application-Rev 12/2020 1 � !l l <br /> Laserfische: - � rt—= <br />