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LAND USE PERMIT APPLICATION — Burnett County, WI a <br /> Applicant Complete All Sections Below This Line n . <br /> a. <br /> Permit Types and Fees:(Please,check appropriate boxes) U 0 <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 <br /> Commercial/Industrial Structure to Addition/Alteration to Commercial/Industrial Structure $200 ', O <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 n <br /> Accessory Structure(Commercial/Industrial $200 Addition/Alteration to Bunkhouse $150 <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 < k <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 �=- `` b <br /> o <br /> Filling/Grading $150 Boathouse $500 V <br /> Six Month Camping Unit(One Per Year) $100 Permit Extension(1 Year Extension-Allowed Once) $100 co <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,landscaping,etc. c- <br /> Property Owner's Name: James Weaver ° C <br /> o <br /> Property Owner's Mailing Address: 24664 Williams Rd. Hertel, WI 54845 o r <br /> City State Zip c <br /> Property Site Address: 24664 Williams Rd, Hertel, WI 54845 k <br /> o <br /> Contact's Telephone Number: 715-560-3508 Z a <br /> d <br /> Contact's Email: james.weaver@saputo.comro <br /> Legal Description of Property: Ely 691 of Gov Lot 12, 6-38-14 exc E1/2 & Hwy 0 <br /> 0. <br /> Section#: Town#: N Range#: W Town of: <br /> d <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tea system property page.* <br /> E)* <br /> Tax ID#(1-5 digit number;found on tax statement): 3020 <br /> Proposed Use of Structure/Addition: Cold Storage 3 ' <br /> Anticipated Start Date: ASAP (Home/Cabin:Commercial Business:Bedroom:Deck:etc.) <br /> Building Contractor: Ace Hardware of Cumberland Sewer Installer: N/A H . <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> 0. NO-i— r Z kit/km\ gobT+vkA-hDo pc, <br /> z <br /> Fee Rec: <br /> 7' Check#: :/ '5 7 <br /> Date of staff site visit: ---/ I ' ° Ini ials of site visit staff: y <br /> z <br /> yo...4„..... _ _ o <br /> APPROVED BY LAND SERVICES OFFICIA 1: DATE: u"..1 1'*c940c:9-0 mxJ <br /> ; _C�1 <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF y In UO <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT o <br /> n ut <br /> Transcendent: - Page 1 of 4 2 tvCD <br /> Laserfische: - Burnett County, WI Land Use Application—Rev 1/2020 m Q <br /> 0 <br /> b <br />