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LAND USE PERMIT APPLICATION — Burnett County, WI <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 $200 <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 <br />Accessory Structure (Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 <br />Deck/Stairs/Patio/Retaining Wall/Sidewalk I Bunkhouse $250 <br />Driveways/ & Campground Structures $125 jWl State Statute 59.692(1v) Structures $350 <br />filling/Grading $150 1 lBoathouse $500 <br />Six Month Camping Unit (One Per Year) $100 1 x 113ermit Extension (1 Year Extension - Allowed Once) $100 <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: Taboka LLC (Karrie Henderson) <br />Property Owner's Mailing Address: 27725 Redwing Ave. Shafer MN 55074 <br />City State Zip <br />Property Site Address: 27290 Jamison Road, Webster WI 54893 <br />Contact's Telephone Number: 651-257-5350 <br />Contact's Email: karriehen@aol.com <br />Legal Description of Property: Lot 1 CSM V1 3P23 Govt Lot 3 & 4 <br />Section #: 31 Town #: 40 N Range #: 16 W Town of: Oakland <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): 13867 <br />Proposed Use of Structure/Addition: Extension for Filling/ Grading Permit <br />Anticipated Start Date: 04/01/2018 (Home/Cabin: Commercial Business; Bedroom: Deck; etc.) <br />Building Contractor: Sewer Installer: <br />AREA BELOW THIS LINE RESERVED FOR ZONING STAFF COMMENTS/CONDITIONS ONLY <br />THIS PERMIT IS SUBJECT TO ALL/CONDI/TI/ONS LISTED BELO4Wj: <br />s�ar muT d F �� O 9pQ l�P� �JO �fGY T�1gs�J <br />./ O �G�%� � % !�1 e �%' / !r %✓� �0/Q;fil 4IrY /%/�f/ !�%,� r/er/��, <br />13Q eQ 74 �G t4 /-q r K4* <br />s I s a4 c 1c lco ono m� <br />Date of staff site visit: Initials of site visit staff: <br />PERMIT APPROVED BY ZONING OFFICIAL: _DATE: 3 Z&l <br />UPON APPROVAL: APPLICANT MUST 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 />-I <br />0 <br />a <br />acs <br />NA- <br />1� <br />N <br />C) <br />ti <br />n' <br />biz <br />1`•7 <br />Fee Rec:ICO <br />5-737 <br />N <br />O <br />z <br />n a) <br />a <br />� � D <br />�m <br />zo C <br />ra)ON <br />0 <br />b �� <br />