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IV <br /> LAND USE PERMIT APPLICATION—Burnett County, WI a <br /> � � N <br /> Applicant Complete All Sections Below This Line 5a fit <br /> Permit Types and FeestPlease,check appropriate boxes) <br /> d <br /> Dwelling/Principal Structure $300 X I Addition/Alteration to Dwelling/Principal Structure $200 cc <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 O CD <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 <br /> 0 <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 <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 1 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 /> *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. <br /> z <br /> 0 <br /> Property Owner's Name: Jennie Albert o i <br /> T <br /> Property Owner's Mailing Address: 7208 73rd Ave N, Brooklyn Park, MN 55428 <br /> City State Zip <br /> Property Site Address: 30298 N 8th Street, Danbury, Wl 54830 <br /> � o <br /> � m <br /> Contact's Telephone Number: (763) 439-6979 a <br /> d <br /> w <br /> Contact's Email: Jennie.albert@5thstreetpokerparties.com <br /> **If staff has a question about this application,you will be contacted via email. Make sure your email address is N b N <br /> legible and your email provider will accept emails from the following address: @BurnettCountyWI.gov <br /> � g <br /> Legal Description of Property: St ionIVISION NWI td S C 98 i OT 24 <br /> Section#: 28 Town#: 41 N Range#: 16 W Town of: Swiss <br /> *A ttach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* C <br /> � N ° x <br /> 91 <br /> Tax 1D#(1-5 digit number;found on tax statement): 230 � � d <br /> Proposed Use of Structure/Addition: 3 season porch <br /> Anticipated Start Date: 5127/25 (Home/Cabin;Commercial Business:Bedroom;Deck;etc.) <br /> x N <br /> Building Contractor: Prime Companies, LLC Sewer Installer: <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: o <br /> Ln <br /> rn <br /> !Q ►'hEET AU— SETBRC-kS s <br /> NVDwfct.l N U "-r -10 ExGesD 3 B�Yc s ?ER SAN#z5 fp(o o <br /> a <br /> Fee Rec: <br /> Check#: <br /> Date of staff site visit:S/�4/ZS Initials of site visit staff:bQ W <br /> c <br /> APPROVED BY LAND SERVICES OFFICIAL: DATE: 5j3ol2°25 <br /> m z <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF CD a <br /> o o <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHTCD <br /> Page 1 of 5 —� <br /> Burnett County,WI Land Use Application—Rev 11/2024 <br />