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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 $3001 <br />lAddition/Alteration to Dwelling/Principal Structure <br />$200 <br />Commercial/Industrial Structure $300 <br />Addition/Alteration to Commercial/Industrial Structure <br />$200 <br />Accessory Structure (Garage, Shed, etc.) $150 <br />Addition/Alteration to Accessory Structure <br />$150 <br />Accessory Structure (Commercial/Industrial) $200 <br />Addition/Alteration to Bunkhouse <br />$150 <br />Deck/Stairs/Patio/Retaining Wall/Sidewalk <br />& Campground Structures $125 <br />Bunkhouse <br />WI State Statute 59.692(1v) Structures <br />$250 <br />$350 <br />#Deways/ <br />g/Grading $150 <br />Boathouse <br />$500 <br />onth Camping Unit (One Per Year) $100 <br />Permit Extension (1 Year Extension - Allowed Once) <br />$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: aeroolos. landcrnninn otr <br />Property Owner's Name: Chris and <br />Property Owner's Mailing Address <br />Meehl <br />10023 Northwood Ln N Broo <br />Property Site Address: 3816 Rainbow Circle Danbu <br />Contact's Telephone Number: 715-259-3257 (Northland Builders In <br />0 <br />Park MN 55443 0. <br />City State Zip <br />Contact's Email: northland001@centurytel.net <br />Legal Description of Property: Lot 31 Rainbow Pond Add to VV <br />Section #: 11 Town #: 40 N Range #: 15 W Town of. Jackson <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): 7977 <br />Proposed Use of Structure/Addition: garage <br />Anticipated Start Date: (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) <br />Building Contractor: Northland Builders Inc Sewer Installer: NA <br />AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br />THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br />c)i �io✓� . <br />Date of staff site visit: Initials of site visit staff: <br />PERMIT APPROVED BY LAND SERVICES OFFICIAL:DATEc^ /'.r' <br />64" (–/ _', — <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 3/2018 <br />Please send permit to 28520 Kilkare Rd Danbury WI <br />N <br />0 <br />o� <br />d <br />r <br />b <br />10, <br />16 <br />'jr <br />I�_r <br />Fee <br />�Clrecll <br />L <br />c <br />i <br />J <br />N <br />O <br />co <br />