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LAND USE PERMIT APPLICATION — Burnett County, WI a <br />App1icanit Complete, All Sections Below This Line ' <br />Permit Types and Fees: (Check appropriate boxlhoxes) <br />Dwelling/Principal Building - Single Family <br />$300 <br />5 <br />t� <br />Addition to Dwelling/Principal Building - Single Family $200 <br />DwellingfPrincipal Building - Multi -Family <br />$300 <br />Structural Alteration to Dwelling/Principal Buildings $200 <br />Q <br />Z <br />Commercial/Industrial Building <br />$300 <br />Addition to Commercial/Industrial Building $200 <br />Accessory Structure(Non-Bunkhouse) <br />$150 <br />jAddition to Accessory Structure $150 <br />Bunkhouse <br />$250 <br />Structural Alteration to Accessory Structure $150 <br />Accessory Structure -Commercial (Cl & I1) <br />$200 <br />jAddition to Accessory Structure -Commercial (Cl & I1) $200 <br />Deck/Stairs/Patio/Retaining Wall/Sidewalk/Drivewey & <br />Campground Structures <br />$125 <br />I Gazebo (WI Stat 59.692(lv)) $350 <br />,Filling/Grading $150 <br />Camping Unit (Six Months Per Year) <br />$100 11 <br />Boathouse $500 <br />Permit Extension (Valid for one year - Only 1 Allowed) <br />$100 11 <br />1 <br />*NOTE: After -the -W (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:r olas, landsca in ,etc. <br />Property Owner's Name: Richard M Tober <br />Property Owner's Mailing <br />12581 Big Trade Rd Grantsbu <br />City <br />Property Site Address: 12581 <br />Trade Rd <br />Contact's Telephone Number: 715-488-2934 <br />Contact's Email: rmtober@grantsburgtelcom.net <br />Wi 54840 <br />State Zip <br />Wi 54840 <br />Legal Description of Property: Tober Estates Lot 17 CSM V23P157 (#400055) (Frmly Lots 8 and 9 subjlesmt #401226 <br />Section #: 29 Town #: 37 N Range #: 18 W Town of: Trade Lake <br />*Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page. <br />Tax ID # (1-5 digit number; found on tax statement): 32807 (034) <br />Proposed Use of Structure/Addition: Patio-Deck-Sidewalk/Steps <br />Anticipated Start Date: 8/2017 (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) <br />Building Contractor: <br />Self <br />Sewer Installer: <br />AREA BELOW THIS EINE RVSERVED FMWNING STAE CUNIlNEI` TSA/C ONDMONSIMLY <br />THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br />4' <br />tsC +-.f1 c>\ home, <br />Date of staff site visit: 2 J I— j � Initials of site visit staff- Sjo <br />PERMIT APPROVED BY ZONING OFFICIAL: DATE: 6 �- <br />Page 1 of 3 <br />Burnett County, WI Land Use Application — Rev 03/2017 <br />°o <br />a <br />a. <br />d <br />r <br />b <br />Fee Rec: <br />9 <br />5 <br />t� <br />d <br />Z <br />a <br />c <br />Q <br />Z <br />-� <br />En <br />