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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 />Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure <br />$200 <br />X Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure <br />$200 <br />Accessory Structure (Garage, Shed, etc.) $150 Addition/Alteration to Accessory Structure <br />$150 <br />Accessory Structure (Commercial/Industrial) $200 Addition/Alteration to Bunkhouse <br />$150 <br />Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse <br />$250 <br />Driveways/ & Campground Structures $125 WI State Statute 59.692(1v) Structures <br />$350 <br />Filling/Grading $150 Boathouse <br />$5� <br />1$1001 <br />Six Month Camping Unit (One Per Year) $100 Permit Extension (1 Year Extension Allowed Once) <br />*NOTE: After -the -fact permits (permit aquired after construction has begun) may cost 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: Gary Verhasselt <br />Property Owner's Mailing Address: PO Box 636 Osceola, WI 54020 <br />City State Zip <br />Property Site Address: 30276 N Seventh Ave Danbury <br />Contact's Telephone Number: 715-497-2947 <br />Contact's Email: gary@vconstruction.com <br />Legal Description of Property: Lot 34, in NW 1/4 of Sec 28 Ex S 34' & Ex N 100' <br />Section #: 28 Town #: 41 N Range #: 16 W Town of: Swiss <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): 23102 <br />Proposed Use of Structure/Addition: Mini Storage Units #4 and #5 per plan <br />Anticipated Start Date: 4/15/2018 (HomeJCabin; Commercial Business; Bedroom; Deck; etc.) <br />Building Contractor: Varhasselt Construction 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 />S G S (, V p— f b -) 3APPR(VED <br />10 <br />Date of staff site visit: Initials of site visit staff: <br />PERMIT APPROVED BY ZONING OFFICIAL: k'—or—DATE:- Xj ~ �� <br />UPON APPROVAL: APPLICAN UST POST COPY OF <br />SIGNED PERMIT APPLICATION IN PLAIN SIGHT <br />Page 1 of 4 <br />Burnett County, WI Land Use Application — Rev 1/2018 <br />n <br />