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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 />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 />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 />Boathouse <br />$500 <br />1$100 <br />Six Month Camping Unit (One Per Year) <br />$100 <br />Permit Extension (1 Year Extension - Allowed Once) <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 wilt be treated as accessory structures, such as: Peraolas, landsconina. etc. <br />Property Owner's N <br />Property Owner's Mailing <br />Mark & MarvBeth Hansen <br />St. <br />Shoreview MN 55126 <br />City State Zip <br />Property Site Address: 26234 W. Lipsett Lake Rd. Spooner WI 54801 <br />Contact's Telephone Number: 651-324-2998 (Mark) 612-308-2091 (MaryBeth) <br />Contact's Email: mhansen(aDjarmersagent.com, mbahansen(a_)gmail.com <br />Legal Description of Property: Cabin <br />Section #: 13 Town #: 39 N Range #: 14 Lot 4 W Town of: Rusk <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): 15909 <br />Proposed Use of Structure/Addition: Lake Home/Cabin <br />Anticipated Start Date: May, 2019 (Nome%Cabin; Commercial Business; Bedroom; Deck, etc.) <br />Building Contractor: Paffy's Construction, Brian Paffel Sewer Installer: Hopkins Sand and Gravel <br />AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br />THIS PERMIT IS SUBJECT TO ALL CONDIITIONS LISTED BELOW: <br />C4// G✓N��CJr1f CfS Pp►'7 J� VOI/V!«+lc�� <br />0 I �H&Iu d i'r�t9 <br />S�il O lnJ !n 1�l'l l ►�lS' q �1 rq/�'JDI�) <br />Date of staff site visit: Initials of site visit staff: <br />APPROVED BY LAND SERVICES OFFICIAL: DATE: <br />UPON APPROVAL: APPLICANT MUST POST COPY OF <br />SIGNED PERMIT APPLICATION IN PLAIN SIGHT <br />Transcendent: - Page I of 4 <br />Laserfische: - Burnett County, WI Land Use Application — Rev 1/2019 <br />-n <br />to <br />0 <br />(N <br />0 <br />voo <br />CD <br />'o <br />d <br />LT O <br />'z <br />rD <br />rD <br />A <br />0 <br />o Q <br />o 4 <br />z <br />0 <br />n <br />o <br />on. <br />C7 <br />m <br />O X <br />W � <br />z <br />z <br />ti <br />Fee Rec: 0t <br />y Check <br />e <br />rn <br />a <br />z <br />d <br />tz <br />>n� <br />ii <br />CaW <br />M m C <br />y <br />�► <br />m C <br />IV <br />