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LAND USE PERMIT APPLICATION - Burnett County, WI <br />Applicant Com lete. All Sections Below This Line g <br />Permit Types and Fees: (Check appropriate box boxes) <br />Dwelling/Principal Building - Single Family <br />$300 <br />Addition to Dwelling!Principal Building - Single Family $200 <br />Dwell ing(P rincipal Building- Multi -Family <br />$300 <br />Structural Alteration to Dwelling/Principal Buildings $200 <br />Commercial/Industrial Building <br />$300 <br />Addition to Commercial/Industrial Building $200 <br />Accessory Structure(Non-Bunkhouse) <br />$150 <br />Addition to Accessory Structure $150 <br />Bunkhouse <br />$250 <br />Structural Alteration to Accessory Structure $150 <br />Accessory Structure -Commercial (Cl & 11) <br />$200 <br />Addition to Accessory Structure -Commercial (Cl & I1) $200 <br />Deck/Stairs/Patio/Retaining Wall/Sidewalk/Driveway & <br />Campground Structures <br />$125 <br />Gazebo (WI Stat 59.692(lv)) $350 <br />Filling/Grading $150 <br />Camping Unit (Six Months Per Year) <br />$100 <br />Boathouse $500 <br />Permit Extension (Valid for one year - Only 1 Allowed) <br />$100 <br />*NOTE. After -the -fact (when no permit is obtained prior to construction) is up to three times the normal fee. <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 />Property Owner's Name: <br />Glen Doriott <br />Property Owner's Mailing Address:i4724Mallard Lake Rd Webster WI 54893 <br />City State Zip <br />Property Site Address: 6716 Old A Webster WI 54893 <br />Contact's Telephone Number: -715-259-3257 <br />Contact's Email: northland001@centurytel.net <br />Legal Description of Property: _W 15 acres NENE lying S of Cty Hwy A except the W66' and E 33' <br />Section #: 3 Town #:_39 N Range #:_16 W Town of: Meenon <br />*Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system propertypage. <br />Tax ID # (1-5 digit number; found on tax statement):_ 11074 <br />Proposed Use of Structure/Addition: _ <br />Anticipated Start Date: October <br />Storage units additions <br />Building Contractor: Northland Builders Inc. <br />(Home/Cabin; Commercial Business; Bedroom; Deck; etc.) <br />Sewer Installer: NA <br />AREA BELOW THIS LINE RESERVED FOR ZONING STAFF COMMENTS/CONDITIONS ONLY <br />THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br />ovl�/l J�3-r- <Oy�p­ <br />Date of staff site visit: Initials of site visit staff: c� <br />/4 <br />PERMIT APPROVED BY ZONING OFFICIAL: DATE: <br />1-0-17 <br />Page 1 of 3 <br />Burnett County, WI Land Use Application — Rev 03/2017 <br />r <br />r <br />ro4.1 <br />09 <br />Fee Rec:< WCO,0 <br />9 <br />y <br />W <br />c9 <br />m <br />