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• <br /> LAND USE PERMIT APPLICATION—Burnett County, WI g- i <br /> Applicant Complete All Sections Below This Line 0 6' o <br /> Permit Types and Fees:(Please,check appropriate boxes) a. <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 d <br /> Commercial/Industrial Structure $300 X Addition/Alteration to Commercial/Industrial Structure $200 — <br /> W <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 .9 0 <br /> O <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 • ).1 <br /> Filling/Grading $150 Boathouse $500 r <br /> o ,` <br /> Six Month Camping Unit(One Per Year) $100 Permit Extension(1 Year Extension-Allowed Once) $100 <br /> F , <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. 11 <br /> Chris Kuehn&MarySmoliak °• -. t� <br /> PropertyOwner's Name: o <br /> pMailing 25208 State Rd 35,Siren,WI 54872 16c <br /> Property Owner's Address: �\— <br /> City State Zip b <br /> Property Site Address: 25208 State Rd 35,Siren,WI 54872 a. <br /> E Ikk <br /> Contact's Telephone Number: 715-349-2628 o G i, <br /> co <br /> 0. p� <br /> Contact's Email: info@boonedocksmarine.com t7 1 <br /> E <br /> Legal Description of Property: Q, <br /> N 'til .` <br /> Section#: Town#: N Range#: W Town of: Meenon o. "O �, <br /> *Attach additional page i needed for lengthy description OR attach a copyofthe dee. a•attach tax system property page.** "' <br /> Pg f g Y P Y P P tYPS d <br /> q• <br /> Tax ID#(1-5 digit number;found on tax statement): 12114 R' <br /> Proposed Use of Structure/Addition: Storage <br /> --i --I <br /> Anticipated Start Date: ASAP (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) y <br /> Building Contractor: Micah Flodin Sewer Installer: <br /> -I <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 ^(\ <br /> home additions,and bunkhouses.** /� / /_ S 7/s`_ Y�ttsi �' <br /> ---7• FO/104) a-c I /oca/� S r-el-?' -, fi- e cr4. A 7 y/ <br /> ---'7 • Co,r,'�.c* Gavot rc i - gkA3 lt•-S QC.lb r h '310-n o.ka, <br /> U <br /> ,---7 • /7?a;'i 1a.'n A. /0 Pr- 5 ride Set bo e.JC- <br /> .-.� "74►' ti Q/. to,57`- a 6 6 -'y— My 3rRoL/J Se7'baCr� � FeeRec:��`� <br /> e <br /> Check#:` 9 <br /> o <br /> ��`� ` r <br /> Date of staff site visit: ���_�/Vnitials of site visit staff: �1 --- <br /> 0 <br /> APPROVED BY LAND SERVICES OFFICIA DAT < <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF I� m <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT o 3 ET Eiji <br /> <y o .-, <br /> O <br /> Transcendent: Page 1 of 4 ,:,rclCCD c ry <br /> Laserfische: Burnett County, WI Land Use Application—Rev 6/2020 al ID' o <br /> o m TR <br /> ll 'j <br />