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LAND USE PERMIT APPLICATION — Burnett County, WI <br />Applicant Complete All Sections Below This Line <br />Permit Types and Fees: (Please, check appropriate boxes) <br />Dwelling/Principal Structure <br />$300 <br />Addition/Alteration to Dwelling/Principal Structure <br />$200 <br />Commercial/Industrial Structure <br />$300 <br />Addition/Alteration to Commercial/Industrial Structure <br />$200 <br />X <br />Accessory Structure (Garage, Shed, etc.) <br />$150 <br />Addition/Alteration to Accessory Structure <br />$150 <br />Accessory Structure (Commercial/Industrial) <br />$200 <br />Addition/Alteration to Bunkhouse <br />$150 <br />X <br />Deck/Stairs/Patio/Retaining Wall/Sidewalk <br />Driveways/ & Campground Structures <br />$125 <br />Bunkhouse <br />$250 <br />WI State Statute 59.692(ly) Structures <br />$350 <br />Filling/Grading <br />$150 <br />1 <br />lBoathouse <br />$500 <br />Six Month Camping Unit (One Per Year) <br />$100 I <br />jPermit <br />Extension (1 Year Extension - Allowed Once) <br />$100 <br />*NOTE: After -the -fact permits (permit aquired after construction has begun) may cost up to three times the normal fee. <br />*Communication Towers & 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, landscaoina. etc. <br />Property Owner's Name: Dennis Gravesen <br />Property Owner's Mailing Address: 29097 Hanscom Lake <br />WI 54830 Please mail permit to Northland Builders INC <br />City State Zip <br />Property Site Address: sAB <br />Contact's Telephone Number: 715-259-3257 Norhtland Builders Inc <br />Contact's Email: please contact northiandOOl@centurytel.net with any questions <br />Legal Description of Property: Lot 10 Aspen Green Addition to W <br />Section #: 7 Town #: 40 N Range #: 14 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 />Tax ID # (1-5 digit number; found on tax statement): 19255 <br />Proposed Use of Structure/Addition: Garage and deck <br />Anticipated Start Date: Late May (Home/Cabin: Commercial Business: Bedroom: Deck: etc) <br />Building Contractor: Northland Builders Inc Sewer Installer: NA <br />AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br />T�H�IS PERMIT IS SUBJECT TO ALL <br />�CONDITIONS <br />/ LISTED/ BELOW: <br />,_ � <br />N., /--Zo I� zw,� r- (/ -PC L� LA -A C-f 0 A�194 pulp e-, <br />Date of staff site visit: S h l/ Initials of site visit staff: <br />APPROVED BY LAND SERVICES OFFICIAL: 9DATE: <br />UPON APPROVAL: APPLICANT MUST POST COPY OF <br />SIGNED PERMIT APPLICATION IN PLAIN SIGHT <br />Transcendent: - Page 1 of 4 <br />Laserfische: - Burnett County, WI Land Use Application — Rev 1/2019 <br />A. <br />d <br />o' <br />00 <br />o � <br />y x <br />d d <br />z <br />z <br />0 <br />Fee Rec: <br />Check #: 30 Ito Co <br />