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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 Bunkhouse $250 <br />Driveways/ & Campground Structures $125 jWl State Statute 59.692(ly) Structures $350 <br />Filling/Grading $150 lBoathouse $500 <br />Six Month Camping Unit (One Per Year) $100 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 Owners Name: Michael and Leah Gilbert <br />Property Owner's Mailing Address: 6390 Langer Lane Lino Lakes, MN 55038 <br />City State Zip <br />Property Site Address: 7062 South Devils Lake Drive Webster, VVI 54893 <br />Contact's Telephone Number: 763.286.5827 <br />Contact's Email: mike.gilbert@empirehouse.com <br />Legal Description of Property: Lot 14 CSM #4802 Vol 27 Pg 3,4,5 Document #452249 in office of the register of Deeds for Burnett Co. Gov Lot 2 <br />Section #: 4 Town #: 39 N Range #: 16 W Town of: West Burnett County, WI <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): I <br />Proposed Use of Structure/Addition: storage — '< e-c.6'nSkr%1C-* fly <br />Anticipated Start Date: January 19th, 2019 (Ho+ne Cabin, Commercial Business: oonr: Deck: etc.) <br />Building Contractor: General Contractor Sewer Installer: nia <br />AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br />THIS PERMIT IS SUBJECT TO ALL tCONDITIONS LISTED BELOW: <br />O $lam j�Y� Njo-,4 crs p,t— IvMOtI v�y p gtfw' 5 1VJ - <br />Q.-rn <br />��e.C- o�f V ipew (5 - 1A <br />3 a-11 �\/ � �C'111-1 s 14 tic,� <br />Date of staff site visit: J a -J -C) I ? Initials of site visit staff: <br />PERMIT APPROVED BY LAND SERVICES OFFICIAL:- DATE: <br />UPON APPROVAL: APPLICANT MUST 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 />n. <br />M <br />N <br />70 <br />0 <br />11 <br />1U <br />C <br />P <br />"57- <br />9t 9t <br />Fee Rec: /� <br />01 <br />Check #: <br />io <br />n <br />CA CD <br />:a3 <br />M C5 <br />(J uU <br />�c <br />� � <br />o <br />IV <br />O <br />3 <br />00 <br />