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LAND USE PERMIT APPLICATION — Burnett County, WI r <br /> b <br /> Applicant Complete All Sections Below This Line o o <br /> Permit Types and Fees:(Please,check appropriate boxes) - �e A <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 1 la a d'\ <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 !I om' w 1 <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 I t <br /> Filling/Grading $150 Boathouse $500 I - I� <br /> Six Month Camping Unit(One Per Year) $100 Permit Extension(1 Year Extension-Allowed Once) $100 <br /> cn <br /> *NOTE:After-the-fact permits(permit aqui red after construction has begun)may cost up to three times the normal fee. P. ? <br /> *Communication Towers&Signs require a different application form;see corresponding application,and fees. i <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. w1 Nr, <br /> Nathan and Jayne Elle and ic <br /> Property Owner's Name: g _ 'z <br /> i <br /> 0 <br /> Property Owner's Mailing Address: 11465 42nd Ave N Plymouth MN 55441 .t <br /> City State Zip <br /> Property Site Address:4502 Lunsman Dr Danbury — - 1 <br /> Contact's Telephone Number:715-259-3257 (Northalnd Builders Inc.) ' , 7 <br /> northlancenur e .net 0 <br /> Contact's Email: d001 ttl <br /> @ y E.e <br /> CO <br /> Legal Description of Property: Lor 1 CSM 887 — <br /> Section#:26 Town#:41 N Range#:1 4 —W Town of: Swiss 2' Q° <br /> 6' <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* O <br /> 21570 n <br /> Tax ID# (1-5 digit number;found on tax statement): n <br /> Proposed Use of Structure/Addition: Garage cn I <br /> Anticipated Start Date:July (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) F P <br /> Norhland Buidlers IncNA c <br /> BuildingContractor: Sewer Installer: — _ � <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLYj <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: E <br /> i4 <br /> **The applicant needs to contact their UDC Inspector to determine if a permit is needed from them prior to r <br /> ANY construction taking place for any dwellings, dwelling additions,manufactured homes,manufactured z O <br /> home additions,and bunkhouses.** x <br /> 0 01— f 6. C A-W.1'k°\Y\ 1-kgbr\ -,-A-4)y\ 1 <br /> , , <br /> I <br /> Fee Rec:_ f?- <br /> 5 Check#: ' ' �� <br /> d <br /> r <br /> Date of staff site visit: f....-I s C® In' s of site visit staff: <br /> pt K...... l�,J rri <br /> 8 <br /> APPROVED BY LAND SERVICES OFFICIAili DATE / /- . �OJ <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF aVl <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT z �� <br /> ✓ N0 C.w3 Y�Y <br /> Transcendent: _ Page 1 of 4 4 o c N <br /> Burnett County,WI Land Use Application-Rev 6/2020 < a� Q <br /> Laserfische: - 't�7-n-�' <br /> C YYY <br />