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( 'ipedci P - <br /> LAND USE PERMIT APPLICATION —Burnett County, WI b <br /> Applicant Complete All Sections Below This Line 5' <br /> Cl. <br /> Permit Types and Fees(Please,check appropriate boxes) ; O 6 <br /> Dwelling/Principal Structure $300 X Addition/Alteration to Dwelling/Principal Structure $200 ,Si <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 �(T 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 <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 <, ; <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 r. Cn <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 to three times the normal fee. <br /> *Communication Towers,Camping Permits&Signs require a different application form;see corresponding application,and fees. fD <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. z ii <br /> p <br /> Property Owner's Name:David and Leah Kuypers c <br /> CO0 M. <br /> 5532 Park Ave '0 X. <br /> Property Owner's Mailing Address: Minneapolis. MN 55417 7. W City State Zip `� <br /> Property Site Address:1244 Roberts Rd,Spooner,WI sa8o1 Z c c <br /> Contact's Telephone Number:7736361626 • a <br /> v <br /> Contact's Email:Ieah.kuypers@gmail.com <br /> 34 <br /> **If staff has a question about this application,you will be contacted via email. Make sure your email address is N <br /> legible and your email provider will accept emails from the following address:@BurnettCountyWI.gov 7. c fe.. <br /> r l,� o <br /> Legal Description of Property: Q GL lA`_ `t ` ci <br /> Section#:24 Town#:40N N Range#:14W W Town of:Scott <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* <br /> 70 <br /> Tax ID#(1-5 digit number;found on tax statement): 18478 a <br /> v <br /> Proposed Use of Structure/Addition: 4 season porch, owners on-suite, staircases to code, deck <br /> Anticipated Start Date:10-13-2025 (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) <br /> 0 <br /> Building Contractor:Jeff Gross Sewer Installer:NA o I <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY rdn J <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: › z <br /> d mai- 14( . SEr-gviCQ¢S <br /> W&UN&- ALIT— 'I'D e .) 2- BeRoows R R sv j oa. cyciy y <br /> Q 3� <br /> -1 <br /> t �Ec T01i` �R Fee Rec:v �Ja°D <br /> eoruTWor OM. (ONrPIED 'R4Eu.lNlr e.9DE� <br /> z (�6 Check#: j0 <br /> NECEN.tR%( FE'2..i c TS. r <br /> rri <br /> Date of staff site visit: /0113 Initials of site visit staff:1)6 g to <br /> -MI' <br /> APPROVED BY LAND SERVICES OFFICIAL: • l DATE: 10/21 f Z025" mQ W O 0, <br /> <_3 --4 <br /> UPON APPROVAL: APPLI T M ST POST COPY OF o 0=CD N Wl1 <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT v c2 <br /> 3 trt <br /> Page 1 of 5 = <br /> Burnett County, WI Land Use Application—Rev 07/2025 JJ <br />