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LAND USE PERMIT APPLICATION - Burnett County, WI r <br /> a � � <br /> — <br /> <' "d <br /> Applicant Complete All Sections Below This Line ;' G <br /> Permit Types and Fees:(Please,check appropriate boxes) W <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 �" <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 `lam <br /> � F <br /> Accessory Structure(Garage,Shed,etc.) $1S0 Addition/Alteration to Accessory Structure $1S0 <br /> Accesso Structure Commercial Industrial ry ( / ) $200 Addition/Alteration to Bunkhouse $150 <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 <br /> X Driveways/&Campground Structures $125 IWI State Statute 59.692(ly)Structures $350 (1 r <br /> Filling/Grading $150 lBoathouse $50000 <br /> Six Month Camping Unit(One Per Year) I$100 1permit Extension(1 Year Extension-Allowed Once) �$100 w <br /> *NOTE:After-the-fact permits(permit aquired after construction has begun)may cost up to three times the normal fee. A <br /> *Communication Towers&Signs require a different application form;see corresponding application,and fees. \V <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. r. <br /> 0 <br /> z <br /> Property`Ownei s Name: JOEL COLE _ <br /> Property Owners Mailing Address: PO BOX 111, WEBSTER, WI <br /> City State Zip <br /> Property Site Address: 28097 NORTH LAKE RD, DANBURY,WI 54830 3 <br /> Contact"s Telephone Number: 715-733-0163 a <br /> 0 <br /> Contact's Email: JOEL.COLE71@ICLOUD.COM <br /> Legal Description of Property: N 1/2 N 1/2 SE SW N oM <br /> Section#: _Town#:-_Q3f'K Range#: /7W Town of..union <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): 25040 <br /> Proposed Use of Structure/Addition: REPLACE EXISTING CABIN DECK N o x <br /> Anticipated Start Date: F <br /> p (Home/Cabin:Commercial Business:Bedroom;Deck:etc.) <br /> Building Contractor: Sewer Installer: <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY lr+� <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> z <br /> a d <br /> z ��Fee Rec: <br /> c� y >� <br /> Date of staff site visit: a y "� LA "' ( 0 Initials of sit vis t st ff. lis <br /> PERMIT APPROVED BY LAND SERVICES OFFICIAL: DATE: <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF <br /> C <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT <br /> N <br /> W <br /> Page 1 of 4 <br /> Burnett County, WI Land Use Application—Rev 3/2018 0 <br /> o <br />