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LAND USE PERMIT APPLICATION — Burnett County, WI a <br /> Applicant Complete All Sections Below This Line 5.• c U <br /> a. <br /> Permit Types and FeesPlease,check appropriate boxes) C <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 a, <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 (I ro <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 , S' 5 <br /> C <br /> Filling/Grading $150 Boathouse $500 CD <br /> X Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 ° tn <br /> *NOTE:After-the-fact permits(permit acquired after construction has begun)may cost up to three times the normal fee. 4 `< <br /> ro <br /> *Communication Towers,Camping Permits&Signs require a different application form;see corresponding application,and fees. g <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. ' ^. <br /> Z <br /> a <br /> Property Owner's Name: Beth Zemsky Q N <br /> Property Owner's Mailing Address: 3844 43rd Ave S, Minneapolis, MN 55406 2E5. n <br /> City State Zip ° , 0 <br /> Property Site Address: 30708 Bradshaw Road c in <br /> • <br /> Contact's Telephone Number:651-313-8731 All Energy Solar owner: 612-201-1489 a. <br /> Contact's Email: permit©allenergysolar.com mailing address: 1264 Energy Ln, St Paul, MN 55108 N a <br /> **If staff has a question about this application,you will be contacted via email. Make sure your email address is legible and your email provider will accept emails from the following address:@BurnettCountyWl.gov V b N <br /> 00 N <br /> a' <br /> Legal Description of Property:LOT 2 CSM#1270 V12 P141 (GOV LOT 1)#260116 . �' <br /> Section#: 19 Town#: 41 N Range#:15 W Town of: Swiss m. lP <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax.system property page.* u, <br /> XI c co <br /> k j <br /> Tax ID#(1-5 digit number:found on tax statement): 21479 �j cta ; <br /> v <br /> Proposed Use of Structure/Addition: Residential Solar -I <br /> Anticipated Start Date:Fall/VVinter 2005 (Home/Cabin:Commercial Business:Bedroom:Deck:etc.) <br /> N <br /> Building Contractor Energy Solar, INC Sewer Installer: NIA y j co 42. V <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY co z re <br /> rCO <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: o 0 <br /> H <br /> n <br /> m <br /> m <br /> cn <br /> .:1 Fee Rec:1 )— <br /> Check#: hm,, 9 <br /> -t <br /> rn <br /> rl <br /> tri <br /> "S i <br /> Date of staff site visit: 1 211012- / 1 Initi Is of s' e visit staflr' 7 s <br /> J/r <br /> APPROVED BY LAND SERVICES OFFICIAL. I� DATE: 1211 D zD2S b CD w CD 0 <br /> 3 < <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF CD "r N1 <br /> ED0 r z i <br /> a � O <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT , no <br /> Page 1 of 5 <br /> Burnett County, WI Land Use Application— Rev 11/2024 ( <br />