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LAND USE PERMIT APPLICATION—Burnett County, WI <br /> b <br /> 1 ,. ,... tos.3 <br /> Applicant Complete All Sections Below This Line nCD , <br /> a <br /> Permit Types and Fees(Please,check appropriate boxes) a, <br /> X Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 0(1 <br /> o w <br /> Commercial/Industrial Structure $300 _Addition/Alteration to Commercial/Industrial Structure $200 o <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 N <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 G� <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 `Se) <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures ,$350 0 �� <br /> Filling/Grading $150 Boathouse $500 <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 tothree times the normal fee. kb <br /> *Communication Towers,Camping Permits&Signs require a different application form;see corresponding application,and fees. 1 F <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. o - <br /> z <br /> Property Owner's Name: Mark &Amy Olson 8 N o Q <br /> Property Owner's Mailing Address: 18650 Breezy Point Drive Wyoming MN 55092 kfi <br /> City State Zi <br /> Property Site Address:30109 Minerva Dam Road Danbury WI 54830 o N <br /> Contact's Telephone Number: 763-458-0737 <br /> CD <br /> d <br /> Contact's Email: marko@vikingmoldinc.com <br /> **If staff has a question about this application,you will be contacted via email. Make sure your email address is N ,1:7 N <br /> legible and your email provider will accept emails from the following addresses:@BurnettCounty.org and 5 tl° r1 <br /> @BurnettCountyWI.gov Document#220054 Po. <br /> IV <br /> Lot Two(2)of certified surveymap#1486 volume 7 page 245-246 5'. <br /> Legal Description of Property: p 9 <br /> Section#: 26 Town#: 41 N Range#: 16 W Town of: Swiss --.1 <br /> CA <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* W f x <br /> Tax ID#(1-5 digit number;found on tax statement): 22649 <br /> 0 <br /> Proposed Use of Structure/Addition: Garage <br /> Anticipated Start Date:_5/1/2024 (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) <br /> Building Contractor: Sewer Installer: <br /> z <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY x <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> 0k e,-- all SAWS <br /> bwu-tili n rw� -b tx.c eed 3 Ixd.rtorns fur sari- l ft 13os6 <br /> Fee Rec <br /> ©Ony o>1 e dc,uact n auciAlf4- fe-r ea ge I d Check#:33 mQ-I <br /> z <br /> Date of staff site visit: I I 1 y lamInitials of site visit staff: '�(�L L. C� <br /> n r <br /> Of. Uuu <br /> APPROVED BY LAND SERVICES OFFICIA 4,400,x---DVS0DATE: y a . <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF o g..W <br /> � � <br /> Ufll <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT a=m ' <br /> Page 1 of 5 < 3 p---, <br /> Burnett County, WI Land Use Application —Rev 5/2023 cp <br /> 4 <br />