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LAND USE PERMIT APPLICATION - Burnett County, WI g_ b <br /> y ^ <br /> Applicant Complete All Sections Below This Line v <br /> Permit Types and Fees:(Check appropriate box/boxes) a <br /> Dwelling/Principal Building-Single Family $300 11 Addition to Dwelling/Principal Building-Single Family $200 I n f; �\ <br /> DZIling/Principal Building-Multi-Family $300 Structural Alteration to Dwelling/Principal Buildings $200 Vj tom/ n - <br /> Commercial/Industrial Building $300 Addition to Commercial/Industrial Building $200 <br /> X Accessory Structure(Non-Bunkhouse) $150 Addition to Accessory Structure $150 G7 Xl J <br /> Bunkhouse $250 Structural Alteration to Accessory Structure $150 < _ <br /> Accessory Structure-Commercial(Cl &Il) $200 Addition to Accessory Structure-Commercial(CI &11) $200 0 <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk/Driveway& Gazebo(WI Stat 59.692(lv)) $350 <br /> Campground Structures $125 Filling/Grading $150 <br /> w <br /> Camping Unit(Six Months Per Year) $100 Boathouse $500 <br /> 0 <br /> Permit Extension(Valid for one year-Only 1 Allowed) $100 r- <br /> 0 <br /> z <br /> *NOTE:After-the-fact(when no permit is obtained prior to construction)is up to three times the normal fee. <br /> *Communication Towers&Signs require a different aPPlication�orm,see corresponding application andIes. 17' <br /> *Items not listed above will be treated as accessory structures,such as:pergolas.landscaping,etc. cn <br /> o <br /> Property Owner's Name: Evelyn Steele <br /> O y � <br /> Property Owner's Mailing Address: 16033 8th Street N. Lakeland, MN 55043 0. <br /> City State Zip o <br /> Property Site Address: 6095 Cashway Danbury, WI 54830 <br /> Contact's Telephone Number: 612-845-5082 <br /> 5' <br /> Contact's Email: evelynsteele@unclogdrains.com o l <br /> y <br /> 3. <br /> Legal Description of Property: Bass Lake Acres Lot 14 <br /> Section#: Town#: N Range#: W Town of: Swiss W <br /> o I <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* ) <br /> Tax fD#(1-5 digit number;found on tax statement): 22550 --1 1 <br /> Proposed Use of Structure/Addition: Garage <br /> Anticipated Start Date: oarovn (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) <br /> Building Contractor: Sewer Installer: y z <br /> n <br /> N <br /> AREA BELOW THIS LINE RESERVED FOR ZONING STAFF COMMENTS/CONDITIONS ONLY <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> OL <br /> 4 `T C3 6,z \j S e �v� V1 vTC)6-y-, <br /> y <br /> Fee Rec: OD <br /> z <br /> 0 <br /> m <br /> N <br /> O <br /> Date of staff site visit: Ini ials of s' isit staff- <br /> MZ lfl <br /> M n <br /> PERMIT APPROVED BY ZONING OFFICIAL: � DATE: t.,.. <br /> fV <br /> Pagel of 3 �z <br /> Burnett County, WI Land Use Application—Rev 03/2017 U <br /> a~ <br />