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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 />X 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 WI State Statute 59.692(ly) Structures $350 <br />Filling/Grading $150 Boathouse $500 <br />Six Month Camping Unit (One Per Year) $100 Permit Extension (1 Year Extension - Allowed Once) 1$100- <br />*NOTE: <br />After-the-fad 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: Quinn Woods <br />Property Owner's Mailing Address: 692 Shelerud Drive Eagan MN 55123 <br />City State Zip <br />Property Site Address: 28517 Bonner Lake Road, Danbury, WI 54830 <br />Contact's Telephone Number: 612.720.0836 <br />Contact's Email: quinnwoods@gmail.com <br />Legal Description of Property: F:;O" N E R LPA KE L -OT �{ <br />Section #: 13 Town #: L4 O N Range #: t 5 W Town of: Jackson <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): G2204 <br />Proposed Use of Structure/Addition: Shed / Sauna <br />Anticipated Start Date: 4/1/2019 (Home/Cabin; Commercial Business: Bedroom: Deck: etc.) <br />Building Contractor: n/a Sewer Installer: n/a <br />AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br />THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br />f� <br />XA b <br />Date of staff site visit. Initials of ite visit staff: <br />1c F <br />PERMIT APPROVED BY LAND SERVICES OFFICIA DATE: <br />UPON APPROVAL: APPLICANT M ST POST COPY OF <br />SIGNED PERMIT APPLICATION IN PLAIN SIGHT <br />Transcendent: - Page I of 4 <br />Laserfische: - Burnett County, WI Land Use Application — Rev 8/2018 <br />1 <br />IP <br />N <br />C, <br />w° <br />r <br />a <br />X <br />Fee ReJf/sD <br />Check #: a �a <br />i� <br />