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rA <br /> LAND USE PERMIT APPLICATION--Burnett County,WI <br /> Applicant Complete All Sections Below This Line ` o <br /> Permit Types and Fees:(please,check appropriate boxes) f ^' <br /> Dwelli Pdnd al Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 <br /> Commercial/Industrial Structure $300 Addition/Alterat€onto Commercial/Industrial Structure $200 <br /> Accesso Structure(Garage,Shed etc. $150 Addition/Alteration toAccesso Structure $150 \ <br /> AccessoryStructure(Commercial Industrial) $200 Addition/Alteration to Bunkhouse $150 <br /> X Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 <br /> Drivewa s/&Cam round Structures WI State Statute 59.p iv Structures $350 <br /> Fillin Cuadin $150 Boathouse $500 p <br /> 5Ix Month Camping Unit(One Per Year) $100 Permit Extension i Year Extension-Allowed Once) $100 u' 3 <br /> *NOM 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 farm,see corresponding application,and fees. I <br /> *items not fisted above will be treated as accessory structures,such as: r olas,landscaping,etc �. <br /> P <br /> Jason and Monica Gabrick <br /> Property Owner's Name: ^ <br /> Property owner's Mailing Address: 4719 S. Lake Sarah Dr. Independence, MN 55359ci <br /> V d <br /> Property Site Address: 7000 S. Devils Lake Dr. Webster, WI1 State Zip <br /> {612} 360-3251 <br /> Contact's Telephone Number: 1 <br /> Contact's Email: jason.gabrick@ryancompanies . com <br /> ro <br /> i <br /> i <br /> Legal Description of Property: see attached for legal description 1 <br /> Section#: 03 Town#: 39 N Range#: 16 W Town of: Meenon <br /> *Attach additional page if needed for lengthy descriptum OR attack a copy of the deed OR attach tax system properly page.* <br /> Tax ID#(1-5 digit number;found on tax statement):0 7-018-2-3 9-16-0 3-5 0 5-0 0 3-0 2 4 0 0 0 Ica <br /> Proposed Use of Structure/Addition: Stairs down to lake r <br /> Anticipated Start Date: 7 . 2 6. 19 Nome/Cabuk CommereW Business;Bedroom;Deck etc.) <br /> Building Contractor: Self Sewer Installer: N/A n` y <br /> AREA BELOW-TEES LINE FOR LAND SERVICES STAFF:COhIMENT&CONDUIONS ONLY <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> Od <br /> 0cCCA4 <br /> kriN9 CM5`fC'uA CJ'I FceRec: <br /> Check#: <br /> Date of staff site visit: i9J, 0 I 1 of site visit staff. <br /> i APPROVED BY LAND SERVICES OFFICIAL: DATE: /rr�� <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF a <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT <br /> 0 <br /> N Cnr�. <br /> Transcendent: Page 1 of 4 0 <br /> Laserfische: - Burnett County,WI Land Use Application-Rev 1/2019 Q�S <br />