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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 $300Addition/Alteration to Dwelling/Principal Structure $200 <br />Commercial/Industrial Structure $300rjWl <br />Addition/Alteration to Commercial/Industrial Structure $200 <br />Accessory Structure (Garage, Shed, etc.) $150Addition/Alteration to Accessory Structure $150 <br />Accessory Structure (Commercial/Industrial) $200Addition/Alteration to Bunkhouse $150 <br />Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 <br />Driveways/ & Campground Structures $125 State Statute 59.692(ly) Structures $350 <br />Filling/Grading $150 Boathouse $500 <br />Six Month Camping Unit (One Per Year) $100 1 jPermit 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: Troy Lessman <br />Property Owner's Mailing Address: PO Box 870 St Croix Falls, WI 54024 <br />City State Zip <br />Property Site Address: 12138 Pickerel Pt, Grantsburg, WI <br />Contact's Telephone Number: 115 25A-061 <br />Contact's Email: n �t%t I , CCill <br />Legal Description of Property: See attached <br />Section #: 21 Town #: 37 N Range #: W Town of: <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): 18 <br />Proposed Use of Structure/Addition: Garage, approved via Variance <br />Anticipated Start Date: Already started (Home/Cabin: Commercial Business: Bedroom: Deck: etc.) <br />Building Contractor: 56,;n An If a,2,21 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 />Tin s �l S O�AWLS41 L \.fo-s <br />` <br />V.16 k �r.l-��S�. ,n0.p. v..V��. •t�,/0..��'� t�oC(`vv--����_I <br />Date of staff site visit:—1 1 Initials of site visit staff: <br />C Z,k\r'e-c.l a�°�e 6 vv�� --�'o c <br />PERMIT APPROVED )� LAND SERVICES OFFICIAL: �J /DATE: <br />UPON APPROVAL: APPLICANT MVST POST COPY OF <br />SIGNED PERMIT APPLICATION IN PLAIN SIGHT <br />Transcendent: - Page 1 of 4 <br />Laserfische: - Burnett County, WI Land Use Application — Rev 8/2018 <br />nn b l0� S1 � r�L s GY-,k -a--W / ( �-- ��� ,l�-�� <br />Cn <br />a <br />�r <br />a <br />t' <br />(710b <br />00 <br />0 <br />w <br />5' <br />C) <br />0 <br />5' <br />0 <br />Fee Rec:� <br />Check #: <br />