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LAND USE PERMIT APPLICATION — Burnett County, WI a <br /> Applicant Complete All Sections Below This Line a P t <br /> Permit Types and Fees:(Please,check appropriate boxes) ° <br /> \ C7 <br /> X Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 0, <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 o <br /> ;y Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 ,.\ <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 g V <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 c <br /> Filling/Grading $150 Boathouse $500 <br /> Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 'r <br /> *NOTE:After-the-fact permits(permit acquired after construction has begun)may cost up to three times the normal fee. a �.`, <br /> *Communication Towers,Camping Permits&Signs require a different application form;see corresponding application,and fees. 0 <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. t. <br /> z <br /> _ o <br /> Property Owner's Name:SM Wolf Holding LLC DBA TIMBERLAND COTTAGES o <br /> c. i <br /> Property Owner's Mailing Address: 19200 County Road 40,Belle Plaine,MN 56011 w <br /> ;� City State Zip 4 —C <br /> Property Site Address:21�0'13 -e e.rr:TA-4-k PASS z o in F <br /> • c <br /> Contact's Telephone Number:952-994-6924 c <br /> Contact's Email:timberlandcottages@gmail.com <br /> **If staff has a question about this application,you will be contacted via email. Make sure your email address is N b <br /> legible and your email provider will accept emails from the following addresses:@BurnettCounty.org and n W <br /> @BumettCountyWl.gov g <br /> - d <br /> l <br /> r -C--)' <br /> Legal Description of Property: A,0k -\ �1 L, L1 GGe/V) L'i- t,4)f"' / '7 �. <br /> Section#: 1 D Town#: -f v N Range#: /S-"" W Town of: au_t F..-Siy\ <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* g cn o <br /> a <br /> y .--, <br /> Tax ID#(1-5 digit number;found on tax statement): Co `'j 1 H p <br /> Proposed Use of Structure/Addition: Home/Cabin <br /> Anticipated Start Date: /0.-c>, 7 (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) <br /> Timberland Cottages Jackson Plumbing <br /> Building Contractor: 9 Sewer Installer: <br /> z <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY 70 <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> dMPt4 av St-HawieS N <br /> OlbikRAAJI it no-- -b e)Cceeci 3 barab7tS p& Sq-N-2N-23y <br /> 02 <br /> Fee Rec. <br /> 01C u rTACX Cu no 6� w -fc),,- 4t,Ijylo,-e, kabi-frthb►-i i Check#: litipl <br /> r <br /> 6 <br /> rn <br /> Date of staff site visit:9/2 312029 Initials of site visit staff:4Ll.T < <br /> Fi mr— <br /> APPROVED BY LAND SERVICES OFFICIAL: DATE: /0 3 2c2y CA = [ffil <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF 0 W <br /> CO 0 <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT • c <br /> ri Page l of 5 tri !''< <br /> Burnett County,WI Land Use Application—Rev 5/2023 y C <br /> I <br />