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LAND USE PERMIT APPLICATION-Burnett County, WI <br /> r <br /> Applicant Complete All Sections Below This Line cr <br /> a Nc <br /> Permit Types and Fees:(Please,check appropriate boxes) a. j <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 6- <br /> k---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 WI State Statute 59.692(1v)Structures $350 <br /> Filling/Grading $150 Boathouse $500 S A <br /> Six Month Camping Unit(One Per Year) $100 Permit Extension(1 Year Extension-Allowed Once) $100 <br /> CA ii,, <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. ,5 - <br /> *ltems not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. <br /> Property Owner's Name: Ct'aJ' # Mar y C nro V o <br /> Illb <br /> Property Owner's Mailing Address: 28330 13ohfJer LeVee <br /> Add )444 �, .5¢85'3 g <br /> City State Zip a. <br /> Property Site Address: .2833O &Alger .Z ke )eDed E' <br /> Contact's Telephone Number: 7/5 2.59 3297 N 1 <br /> a (' <br /> Contact's Email: CGonro y " Cerr6vr'af'f! /let 0 d <br /> F <br /> Legal Description of Property: 10T /7 C5)4 V 5 4) z.5 , Pert of Gov. Lor ,3 ., <br /> N 'U <br /> Section#: ,Z� Town#: 40 N Range#: 15 W Town of: Seckson 0. °Q <br /> *Attach additional page i needed or lengthy description OR attach a copyofthe deed OR attach taxsystem property page.** ao <br /> P S f f S Y P P tY P S 0 <br /> Tax ID#(1-5 digit number;found on tax statement): 5557 S <br /> Proposed Use of Structure/Addition: Stores 51,t-,,4. wci' 3' Sao' ( /0 X f2 Sled) a <br /> Anticipated Start Date: So(V la 1 Zo.ZO (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) I �e <br /> t7 <br /> Building Contractor: IF Sewer Installer: 444 c--- <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> **The applicant needs to contact their UDC Inspector to determine if a permit is needed from them prior to <br /> ANY construction taking place for any dwellings,dwelling additions,manufactured homes,manufactured z o <br /> home additions,(J �andfoe-bunkhouses.** a� y 1 �_ r -A i On �' <br /> o Nf-.� �Q�{ <br /> Fee Rec:`/-��� <br /> Check#: nets', <br /> rn <br /> ra <br /> Date of staff site visit: Initials : .site visit staff: IAA Y"--- <br /> APPROVED BY LAND SERVICES OFFICIAL: Ljib_ / DATE: 7 3 (9`-av C3 <br /> UPON APPROVAL: APPL CANT MUST POST COPY OF i 51 <br /> c <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT 1 i r <br /> Transcendent: - Page 1 of 4 <br /> o <br /> Laserfische: - Burnett County, WI Land Use Application-Rev 6/2020 m <br />