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LAND USE PERMIT APPLICATION-Burnett County, WI a c <br /> b <br /> Applicant Complete All Sections Below This LinetA <br /> Permit Types and FeesfPlease,check appropriate boxes) a <br /> C7 <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 $150CD <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 c� - <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk IBunkhouse $250 <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(ly)Structures $350 f"n <br /> Filling/Grading $150 Boathouse $500co <br /> Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 <br /> w <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. <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. o <br /> o <br /> 6. IV <br /> Property Owner's Name: Jason tip Vicky Knowler o ,� <br /> 0 <br /> Property Owner's Mailing Address: 8930 Xylite St. NE Blaine MN 55449 w w <br /> City State Zip 5 <br /> Property Site Address: 7725 Oak Street Danbury WI 54830 Pt <br /> Contact's Telephone Number: 320-629-0026 a <br /> 0 <br /> Contact's Email: JBMFGHOMES(a)-GMAIL.COM <br /> **If staff has a question about this application,you will be contacted via email. Make sure your email address is <br /> legible and your email provider will accept emails from the following address: @BurnettCountyWI.gov <br /> N <br /> Legal Description of Property: t? N�► <br /> y <br /> Section#: Town#: N Range#: W Town of: fly $S <br /> *Attach additionalpage if needed for lengthy description OR attach a copy of the deed OR attach tax system propertypage. <br /> Tax ID#(1-5 digit number;found on tax statement): 23072&23071 <br /> `o <br /> Proposed Use of Structure/Addition: NEW HOME W <br /> Anticipated Start Date: MAY/DUNE 2025 (Nome/Capin;Commercial Business;Bedroom;Deck;etc.) t3 <br /> Building Contractor: HOMEOWNER Sewer Installer: Brian Sandstrom <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY °m <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: o z N <br /> (D mF€T AI-L SE1173ACk-S W <br /> Q pwc-LL./NCr NoT To E'XGECD 2 BtPRo K,,s* 1tR SMIQ-;Ztf-33 <br /> O {?ARCECS 1-0 $E CoruTfal.,lED 4917,H A CEKrrFtEn Suriv" .w4P (csri) <br /> Fee Rec: <br /> 8y 8 Zo 25 z Check#: <br /> Q Csi49ACre AJor ID Imo' US'r✓D Fo12 I4U"A/ /tA�/TA77bnJ � <br /> Q Tk►s PGRLowr RE-k AQ5" T/1C DWEu./4IG- FRo►+� `u P.-Z� -71 . <br /> < r— <br /> c <br /> Date of staff site visit:3�3�25 Initials of site visit staff w <br /> APPROVED BY LAND SERVICES OFFICIAL: DATE:ILI��zo2s <br /> � n <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF M a N <br /> 1 K C <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT CD <br /> Page l of 5 <br /> Burnett Countv.WT Land Ilse Annlication—Rev 11/2024 <br />