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LAND USE PERMIT APPLICATION —Burnett County, WI <br /> �: • N <br /> Applicant Complete All Sections Below This Line <br /> CD• 1 <br /> Permit Types and Fees(Please,check appropriate boxes) 0a ' . <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 0 <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 .t p <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 lT <br /> n <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 ° p_ <br /> X Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 ° C <br /> .Filling/Grading $150 Boathouse $500 r <br /> v ia, <br /> ? <br /> Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 _ <br /> *NOTE:After-the-fact permits(permit acquired after construction has begun)may cost up to three times the normal fee. <br /> ro <br /> *Communication Towers,Camping Permits&Signs require a different application form;see corresponding application,and fees. lib <br /> *items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. o =' <br /> 2 <br /> O 11111 <br /> Property Owner's Name: Timothy Voltz o —0 <br /> 0 <br /> a <br /> Property Owner's Mailing Address: 4628 Upton Ave S . Minneapolis, MN. 55410 0 <br /> City State Zip 3 <br /> Property Site Address: 1261 Racine Dr Spooner, WI. o y <br /> Contact's Telephone Number: .612 810 5094 a <br /> 0 <br /> w <br /> Contact's Email: tim@voltz.biz <br /> **If staff has a question about this application,you will be contacted via email. Make sure your email address is N -o CU <br /> legible and your email provider will accept emails from the following address: @BurnettCountyWl.gov `m <br /> Legal Description of Property: LAKE MCKENZIE BEACH SUBDIVISION LOTS 4, 5 &6 BLK 4 0 <br /> a. <br /> Section#: I 3 Town#: yb N Range#: I y W Town of: SCOtt 8 <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* V' <br /> o <br /> Tax ID#(1-5 digit number;found on tax statement): 19053 _ W g <br /> Proposed Use of Structure/Addition: Replace collapsing retaining wall, remove/replace deck for const -i <br /> Anticipated Start Date: 5/15/24 access. (Home/Cabin;Commercial Business:Bedroom;Deck;etc.) G <br /> Building Contractor: Pat Hover, Extreme Landscape Sewer Installer: 7, 0 W <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY ° z <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: o z <br /> rn _ <br /> / DEck arid rk,4a;tri' no, tAxt,� -� l)-e re-p1ace.d 1n �-I.'e Su.nr --� r <br /> /0///2t2L/ a � <br /> O Fee Rec.`�� — <br /> 2 �C �K I i (,t-i'L� a 1,f)J ald t'lia/11 -! 7 z Check#: a <br /> m <br /> m <br /> m <br /> Date of staff site visit: //2/20z2/ Initia of site visi taflF + GIL- d wr <br /> t <br /> / ��� c4 0 <br /> APPROVED BY LAND SERVICES OFFICIA . ATE: y// z z -i cx <br /> ///// < B <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF 0 wCD cCSIGNED PERMIT APPLICATION IN PLAIN SIGHT C <br /> cD <br /> Page l of 5 = H1! <br /> Burnett County, WI Land Use Application—Rev 12/2023 (� <br />