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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 />X <br />Deck/Stairs/Patio/Retaining Wall/Sidewalk <br />Bunkhouse <br />$250 <br />jWl State Statute 59.692(ly) Structures <br />$350 <br />Driveways/ & Campground Structures <br />$125 <br />Filling/Grading <br />$150 <br />lBoathouse <br />$500 <br />Six Month Camping Unit (One Per Year) <br />$100 <br />1permit Extension (1 Year 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: Glen Anderson <br />Property Owner's Mailing Address: 1930 Knox Ave S Minneapolis MN 55403 <br />City State Zip <br />Property Site Address: 27607 Thompson Bay Rd Webster <br />Contact's Telephone Number: Please call Northland Builders Inc 715-259-3257 <br />Contact's Email: Please contact Norhtland Builders Inc - northland001 @centurytel.net <br />Legal Description of Property: Lot 3 CSM 2/49 <br />Section #: 36 Town #: 40 N Range #: 15 W Town of: Jackson <br />*Attach additionalpage if neededfor lengthy description OR attach a copy of the deed OR attach tax system propertypage. <br />Tax ID # (1-5 digit number; found on tax statement): 6088 <br />Proposed Use of Structure/Addition: Retaining wall replacement <br />Anticipated Start Date: TBD (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 />Date of staff site visit: S Z� % Initials of site visit staff: / <br />APPROVED BY LAND SERVICES OFFICIAL: DATE: <br />UPON APPROVAL: AP ICANT 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 1/2019 <br />=150 <br />V <br />�� <br />Fee Rec: �� <br />A� <br />Check #: 3a7V <br />