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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 <br />$300 <br />Addition/Alteration to Dwelling/Principal Structure <br />$200 <br />Commercial/Industrial Structure <br />$300 <br />Addition/Alteration to Commercial/Industrial Structure <br />$200 <br />Accessory Structure (Garage, Shed, etc.) <br />$150 <br />Addition/Alteration to Accessory Structure <br />$150 <br />Accessory Structure (Commercial/Industrial) <br />$200 <br />Addition/Alteration to Bunkhouse <br />$150 <br />Deck/Stairs/Patio/Retaining Wall/Sidewalk <br />Bunkhouse <br />$250 <br />Driveways/ & Campground Structures <br />$125 <br />WI State Statute 59.692(ly) Structures <br />$350 <br />Filling/Grading <br />q$100 <br />Boathouse <br />$500 <br />Six Month Camping Unit (One Per Year) <br />Permit Extension (1Year 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 />*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: Karen Lushine <br />Property Owner's Mailing Address: 4601 Gladstone St Duluth MN 55804 Please send permit to Northland Builders INC <br />City State Zip <br />Property Site Address: 28523 Bonner Lake Rd Danbury <br />Contact's Telephone Number: Please contact Northland Builders Inc 715-259-3257 <br />Contact's Email: northland00I@centurytel.net <br />Legal Description of Property: Bonner Lake Lot 8 <br />Section #: 13 Town #: 40 N Range #:_ 15 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): 6205 <br />Proposed Use of Structure/Addition: Garage <br />Anticipated Start Date: Late May (Home/Cabin; Commercial Business; Bedroom; Deck,: etc) <br />Building Contractor: Northland Builders INC 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 />V11 A i r Its zo/ l , <br />Date of staff site visit: 'L zw I Initials of site visit staff: Z " <br />APPROVED BY LAND SERVICES OFFICIAL: DATE: Z �/ <br />UPON APPROVAL: APPLICANT MUST POST C013Y OF <br />SIGNED PERMIT APPLICATION IN PLAIN SIGHT <br />Transcendent: - Page 1 of 4 <br />Laserfische: - Burnett County, WI Land Use Application — Rev 1/2019 <br />T <br />--i <br />z <br />s v <br />� Fee Rec:W <br />1,�- <br />7- Check #: 3DIZ3 <br />8 <br />m <br />r <br />a <br />z <br />0 <br />A <br />� r <br />a <br />a`' <br />vCn <br />m c <br />M <br />c� <br />Ns <br />o <br />so`� <br />o <br />m <br />f�n1 <br />