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r <br /> LAND USE PERMIT APPLICATION —Burnett County, WI c <br /> a <br /> Applicant Complete All Sections Below This Line 5' c <br /> 0. <br /> Permit Types and Fees(Please,check appropriate boxes) a O <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 �, <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 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 C ~ <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 5' Z. �� <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 r9. .� <br /> Filling/Grading $150 Boathouse $500 <br /> X Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 <br /> 6_ �S <br /> *NOTE:After-the-fact permits(permit acquired after construction has begun)may cost up to three times the normal fee. `. <br /> *Communication Towers,Camping Permits&Signs require a different application form;see corresponding application,and fees. =4 <br /> r @. c <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. <br /> z <br /> 0 <br /> Property Owner's Name:James McCaul o <br /> Property Owner's Mailing Address: 5286 County Rd C Danbury WI 54830 , n 0 City State Zip <br /> Property Site Address:same --o y <br /> • c <br /> Contact's Telephone Number:715-733-0817 N <br /> immccaul mac.com / /} / ) <br /> Contact's Email:l @ 1' ��`m n �i / Q�'�/50`�� L©� <br /> **If staff has a question about this application,you will be contacted via ematf. Mate sure your email address is N b <br /> legible and your email provider will accept emails from the following address:@BurnettCountyWl.gov = tl0 W <br /> a N N <br /> Legal Description of Property:S 920' GL 1 LYING N OF REF LN DESC 606/636 & EX CSM V24 P265 E. <br /> UN <br /> Section#: 18 Town#: 40 N Range#: 15 W Town of: Jackson U) <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* <br /> Tax ID#(1-5 digit number;found on tax statement):33613 op <br /> Proposed Use of Structure/Addition: Solar Energy System ,--1 y W <br /> Anticipated Start Date:9/23/2024 (Home/Cabin;Commercial Business:Bedroom;Deck;etc.) <br /> Building Contractor:Legacy Solar, LLC Sewer Installer: c„ 0 (A -- <br /> o SAREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY m Z W <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: c pcJ <br /> Mee - ctU Semis ` A _ <br /> �, � ^ � l U <br /> D CU.�nn,,,?e r cave DA kl be used -��r 3 <br /> C� �a S t" C( C( `dur 1-ecir, <br /> w <br /> '�An r / r Fee Rec: i'v" <br /> 0,ST 4 ✓ k'eCL✓ ( f-P s o Check#: '0g I <br /> V <br /> 0►' S +aired aeprop�u-� �� A <br /> n <br /> m_ <br /> C <br /> Date of staff site visit:X12/ l Initials of site visit aff: — a r� <br /> APPROVED BY LAND SERVICES OFFICIAL. DATE: !i)/7 U►�2'/ m c° I`t`7 <br /> 11 <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF 0 �, <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT <br /> Page 1 of 5 , ' <br /> Burnett County,WI Land Use Application —Rev 04/2024 1' - <br />