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LAND USE PERMIT APPLICATION - Burnett County, WI Ir <br />N <br />Applicant Complete All Sections Bekbw This Gime <br />Permit types and Fees: (Please, check appropriate boxes) <br />Dweliin Principal Structure $300 <br />Addition/Alteration to Dwelling/Principal Structure <br />$200 <br />Commercial/Industrial Structure $300 <br />Addition/Alteration to Commerdai/Industrial Structure <br />$200 <br />Accessory Structure ( e, Shed, etc.) $IMW <br />Addition/Alteration to Accessory Structure <br />$150 <br />Accessory Structure (Commerdal/Industrial) $200 <br />Addition/Alteration to Bunkhouse <br />$150 <br />Deck/Stairs/Patio/Retaining Wali/Sidewalk <br />Driveways/ & Campground Structures $125 <br />Bunkhouse <br />WI State Statute S9.692(ly) Structures <br />$250 <br />$350 <br />Fiilin Gradin $150 <br />Boathouse <br />$SW <br />Six Month 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 />*Communkotion Towers & Signs require a different appikation 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 <br />Joseph Haubenhofer <br />Prooertv Owner's Mailing Address: 25858 West Bass Lake Road, Webster, Wl 54893 <br />Property Site Address: <br />City State Zip <br />25858 West Bass Lake Road, Webster, Wi 54893 <br />Contact's Telephone Number: 612-237-9333 <br />Contact's Email: joe@joehaubenhofer.com <br />Legal Description of Property: Sec.23 Tn 39 Rg16 PCL GOV LOTS 3&4 (Lot 16 Tollander Plat) <br />Section #: 23 Town #: 39 N Range #: 16 W W Town of: Meenon <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): 11747 <br />Proposed Use of Structure/Addition: Storage <br />Anticipated Start Date: July 20,2018 (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) <br />Building Contractor: Hopkins/Premier Shed Sewer Installer: N/A <br />_AREA BELOW THIS LINE RESERVED FOR ZONING STAFF COMMENTS/CONDITIONS ONLY <br />THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br />Date of staff site visit: 1 _ J Initials of site visit staff: "`-- <br />--)—j3—fig <br />PERMIT APPROVED BY ZONING OFFICIAL: DATE: <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 />N <br />5 <br />0 <br />5 <br />r— <br />Fee Ree: I So <br />