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' LAND USE PERMIT APPLICATION - Burnett County, WI b r <br /> S b <br /> Applicant Complete All Sections Below This Line 6CD o <br /> __ p <br /> Per it Types and Fees:(Please,check appropriate boxes) b <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 � <br /> j Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 <br /> I Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 ro <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 C) <br /> r Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 ° <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 t [a <br /> o <br /> Filling/Grading $150 Boathouse $500 <br /> Six Month Camping Unit(One Per Year) $100 Permit Extension(1Year Extension-Allowed Once) $100 >. <br /> V� <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. - w <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. r, D <br /> z <br /> Property Owner's Name: Cory Schubert °\ <br /> o SCJ <br /> Property Owner's Mailing Address: 13463 Coachford Way Rosemount MN 55068 0 <br /> City State Zip 0' <br /> Property Site Address: 28886 Sweger Road Danbury, WI 54830 <br /> o <br /> 612-202-6450 0 <br /> Contact's Telephone Number: _ n. <br /> e <br /> Contact's Email: coryschubert@hotmail .com w <br /> Legal Description of Property: LOT 2 SWEGER ROAD, DANBURY, WI 54830 <br /> Section#: Town#: N Range#: W Town of: Danbury <br /> P <br /> t`.4ttach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* Ei. <br /> Tax ID#(1-5 digit number;found on tax statement):_ 51 .i'\ <br /> CA <br /> Proposed Use of Structure/Addition: Cabin 0 n <br /> Anticipated Start Date: May 20, 2020 (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) ° e <br /> CorySchubert Hopkins Sand & Gravel H <br /> Building Contractor: o Sewer Installer: P <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br /> THIS PERMIT IS SUBJECT TO ALL CONE TJONS LISTED BELOW: t M., <br /> (010-Qc..\" u .I NCicrco(� addckk Yt cyL` I rr ..i�s-t-r,hSP lit2rh3 z <br /> �, i5 esSPn�ro•( .the ckwech v' , �� 1E? 7S' cf 1 <br /> e -�-t h U p&r-K (ot1/4Wrv,"‘ <br /> -_ro v►'\ a c dA �a r) n <br /> O 00v-e co,mpeC \� and 75 t"` coy, ck to m <br /> a• <br /> Q 1 h C Tao 1-h pe rm ;-\-(c&vhPi n)) 6j J Noy' 61D-000• Fee Rec:X300— <br /> x <br /> �� t, Check#:S (. <br /> Date of staff site visit: 6 Initials site visit staff: r , ] <br /> :APPROVED BY LAND SERVICES OFFICIAL: : e �Or i1 $ <br /> UPON APPROVAL: APPLICANT MUST POST OPY OF • r..., <br /> ii <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT 1 R. © <br /> Transcendent: - Page 1 of 4 ----T----- <br /> ,r, <br /> � _�i ill <br /> �M �-- <br /> Laserfische: - Burnett County, WI Land Use Application —Rev 1/2020 < T-iI <br /> m <br /> rn <br /> H <br /> 3 <br /> v <br />