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416 <br />LAND USE PERMIT APPLICATION — Burnett County, WI <br />Annlicant Comnlete All Sections Below This Line <br />Permit Types and Fees: (Check appropriate boxlboxes) <br />Dwelling/Principal Building- Single Family $300 <br />Addition to Dwelling/Principal Building- Single Family <br />$200 <br />Dwelling/Principal Building- Multi -Family $300 <br />Structural Alteration to Dwelling/Principal Buildings <br />$200 <br />X Commercial/Industrial Building $300 <br />lAddition to Commercial/Industrial Building <br />$200 <br />Accessory Structure(Non-B nkhouse) $150 <br />Addition to Accessory Structure <br />$150 <br />Bunkhouse $250 <br />:Structural Alteration to Accessory Structure <br />$150 <br />Accessory Structure -Commercial (C1 & I1) $200 <br />Addition to Accessory Structure -Commercial (C1 & 11) <br />$200 <br />Deck/Stairs/Patio/Retaining Wall/Sidewalk/Driveway & <br />Campground Structures $125 <br />Gazebo (WI Stat 59.692(l v)) <br />Filling/Grading <br />$350 <br />$150 <br />Camping Unit (Six Months Per Year) $100 1 <br />Boathouse <br />$500 <br />Permit Extension (Valid for one year - Only I Allowed) $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: DGI-Danbu <br />Property Owner's Mailing Address: 200 E WaShi <br />Property Site Address: <br />Contact's Telephone Number: (920) 560-5069 <br />Contact's Email: mikep .ngpwi.com <br />St. Ste. C <br />fleton WI 54915 <br />City State Zip <br />Legal Description of Property: See attached CSM <br />Section #: 28 Town #: 41 N Range #: 16 W Town of. SWISS <br />*Attach additional page if neededfor 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): 22077' <br />Proposed Use of Structure/Addition: Commercial/retail <br />Anticipated Start Date: March 2018 (Home/Cabin; Commercial Business; Bedroom; Deck; etc) <br />Building Contractor: Fred J. Piette Co. Inc. Sewer Installer: <br />AREA BELOW THIS LINE RESERVED FOR ZONING STAFF COMMENTS/CONDITIONS ONLY <br />THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br />�/� <br />r / �V5+ 6,0yjr)ec.�' O f,)6-r10Vf``r <br />p C. r<J� fr� 't �.n J 1Dv 1 + <br />G I V IMPS J' � et <br />Date of staff site visit: In'tials of site visit staff - <br />PERMIT APPROVED BY ZONING OFFICIAL: DATE: <br />Pagel of 3 <br />Burnett County, WI Land Use Application — Rev 03/2017 <br />1\ <br />in <br />z <br />0� <br />Fee Rec: <br />1� <br />z OIt <br />G <br />W <br />t <br />a <br />I <br />% ab <br />