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LAND USE PERMIT APPLICATION — Burnett County, WI Q <br /> Applicant Complete All Sections Below This Line <br /> Permit Types and Fees:(Please,check appropriate boxes) a <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 <br /> ,Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 co <br /> 6.-- <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 co <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 C O <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 o __ <br /> Filling/Grading $150 Boathouse $500 /(�C`J'1 <br /> Six Month Camping Unit(One Per Year) $100 Permit Extension(1 Year Extension-Allowed Once) $100 S <br /> *NOTE:After-the-fact permits(permit aquired after construction has begun)may cost up to three times the normal fee. F. <br /> *Communication Towers&Signs require a different application form;see corresponding application,and fees. 4 <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. <br /> Wayne and MaryJo Webb S ' <br /> Property Owner's Name: Y 0Mb <br /> Property Owner's Mailing Address:122 SE 43rd St Cape Coral FL 33904 -, <br /> 29565 Long-Hayden Lane Danbu <br /> City WI State <br /> a <br /> Property Site Address: Danbury <br /> E - <br /> Contact's Telephone Number: 763-639-2562 I► c y <br /> E. <br /> Contact's Email: mmwl @infionline.net <br /> . <br /> Legal Description of Property: Lot 12 c <br /> Section#: 4 Town#: 40 N Range#: 16 W Town of: Danbury/Oakland Twnship N °° <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* d <br /> Tax ID#(1-5 digit number;found on tax statement): 14147 <br /> Proposed Use of Structure/Addition: secondary residential home/cabin <br /> Anticipated Start Date: June 2022 (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) 5t1 3 ' <br /> Webster WI d <br /> Building Contractor: Village Homes/Friendship Home$ewer Installer: Hopkins <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY .. <br /> THIS PEERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> d Mee: all $C 4 c <br /> • Dv 11 m4- --0 eKoe.e0( 3 beet/roomy feic 54IV- ?)-/)/ a, <br /> J <br /> X' Fee Rec: a)-e° <br /> 1 /7��-a WI <br /> Check#: 7� <br /> Date of staff site visit: Initials of site visit f• �� a <br /> 62-41A. <br /> APPROVED BY LAND SERVICES OFFICIAL: / DATE: 6/2?/ 2--/ - w --J...S <br /> UPON APPROVAL: APPLICANT UST POST COPY OF u W <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT ' s o CAI <br /> Transcendent: - Page 1 of 4 ii Z <br /> Burnett County, WI Land Use Application —Rev 12/2020 <br /> Laserfische: - tY� PP - _ _ 111 <br />