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4 <br /> LAND USE PERMIT APPLICATION — Burnett County, `VI I g <br /> w N <br /> Applicant Complete All Sections Below This Line 3 cn <br /> a <br /> Permit Types and Fees(Please,check appropriate boxes) v <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 g <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 I,� <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 k (er"__ <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 o <br /> Filling/Grading $150 Boathouse $500 cn �' <br /> X 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. 3 <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. ' 7 <br /> o �i <br /> Property Owner's Name: David Hong 1. — <br /> Property Owner's Mailing Address: 4514 BLAISDELL AVE MINNEAPOLIS MN 55419 <br /> vl <br /> ch <br /> City State Zip (' 3 <br /> Property Site Address: 28993 Voyager Rd Danbury WI 54830 12 <br /> c <br /> Contact's Telephone Number:651-313-8731 a. a <br /> L <br /> Contact's Email:permit@allenergysolar.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 00 N <br /> in <br /> Legal Description of Property: v 6-0` �t <br /> Section#: Town#: N Range#: W Town of: es <br /> *Attach additionalpage i needed or lengthy description OR attach a copyofthe deed OR attach tar system roe page.* �d c N <br /> I l S P property rTy Pa8 D -4 —1 <br /> Tax ID#(1-5 digit number:found on tax statement): g o <br /> Proposed Use of Structure/Addition: Cabin -t <br /> Anticipated Start Date: 12/15/2025 (Home/Cabin:Commercial Business:Bedroom:Deck:etc.) <br /> .e VI <br /> Building Contractor:AII Energy Solar, INC Sewer Installer: y ° iN <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMIMENTS/CONDITIONS ONLY ° °O <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: z ,o <br /> c <br /> C' ►`tE.E C AU 5ET%$5ckS <br /> 7. <br /> al <br /> ® $tTtc TAB um ib gE SE-cup-GO gY cock_ 4 CH4/A) g`l /21/5/2025 r; <br /> m <br /> 1 <br /> Fee Rec: /57.)1 <br /> z Check 4: 4/4533/ <br /> t <br /> �7 <br /> n <br /> m [� <br /> v5 Do <br /> Date of staff site visit: \\\ I 1 Initials of site visit staff: ] n s <br /> c r- <br /> M <br /> APPROVED BY LAND SERVICES OFFICIAL: 9,•(/ I DATE: /1/P//2d2S <br /> mC <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF 00 N1 <br /> 0 <br /> � _ c <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT <br /> CD V51} <br /> Page 1 of 5 .2) <br /> Burnett County, WI Land Use Application— Rev 11/2024 <br />