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too <br /> LAND USE PERMIT APPLICATION —Burnett County, WI a P <br /> y <br /> Permit Fees: a ?� <br /> 6 <br /> Dwelling/Principal Building-Single Family $300 Addition to Dwellin rinci al Building-Single Family $200 e O <br /> Dwelling/Principal Building-Multi-Family $300 Addition to Dwelling/Principal Building-Multi-Family $200 <br /> Commercial/Industrial Building $300 Addition to Commercial/Industrial Building $200 <br /> Accessory Structure(Non-Bunkhouse) <br /> Addition to Acc.Structure $150 Bunkhouse $250 <br /> Accessory Structure-Commercial CI&11 $200 Addition to Accessory Structure-Commercial Cl &I1 $200 <br /> n <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk/Driveway& <br /> Screen orches-in campgrounds only) $125 Gazebo WI Stat 59.692 Iv $350 r <br /> Camping Unit $100 Filling/Grading $1.50 ° <br /> Permit Extension Valid for one yat-Only I Allowed $100 Boathouse $500 <br /> *NOTE:After-the-fact(when no permit is obtained prior to construction)is up to three times the normal fee. <br /> *Communication Towers&Signs require a different application form,see corresponding application and fees. o <br /> *items not listed above will be treated as accessory structures,such as.pergolas,landscaping,etc. <br /> r <br /> o — <br /> Applicant Complete All Sections Below This Line o <br /> Applicant's Name: Ben Boyum <br /> Applicant's Mailing Address: 7417 280th St W Farmington MN 55024 b <br /> City State Zip <br /> Applicant's Telephone Number: 612-685-3456 a <br /> Applicant's Email: benboyum@aol.com <br /> b 1 <br /> If staff has a question about this application how do you prefer to be contacted? Check one below. N °aSo <br /> El Letter ®Phone ❑Email <br /> Legal Description: b <br /> R J <br /> Lot#: 1 CSM Vol. 1783 V9 Pg. 948 OR <br /> Lot#: Block#: Subdivision Name: OR <br /> Gov't Lot#: OR 1/4 1/4 ° <br /> l <br /> Section#: 36 Town#: 41 N N Range#: 16W W Town of: Swiss <br /> *Attach additional page iIneededfor lengthy description OR attach a copy of the deed OR attach tax system propertyPa e. i <br /> Parcel#(24 digits): 07-032-241-16-36-4 03-000-016000 r .� <br /> � l <br /> Z Q) <br /> Tax ID#(1-5 digits): 22436 y <br /> Property Site Address: 6309 Lilly Lane, Danbury. WI 54830 v <br /> TYPE OF PERMIT(S): Check appropriate box/boxes Fee Rec: JcJ�A <br /> ❑ Single Family Dwelling ❑ Multi-Family Dwelling ❑ Filling/Grading ❑ Commercial Building <br /> ❑Single Family Addition ❑ Multi-Family Addition XDeck/Patio ❑Commercial Addition <br /> Stairs ❑ Acc. Structure (Non-bunkhouse) ❑ Bunkhouse ❑ Commercial Acc. Structure <br /> ❑ Permit Extension ❑ Gazebo—WI Stat 59.692(ly) ❑ Camping Unit ❑ Commercial Acc.Addition <br /> ❑ Boathouse ❑ Screen porch—campgrounds only XRetaining Wall ❑ Sidewalk/Driveway <br /> Proposed Structure/Addition Use: Cabin: replace old retaining walls and steps leading to lake M <br /> (Home/Cabin:Commercial Business:Bedroom:Deck:etc) N Z D <br /> Building Contractor: Master Plumber: Z <br /> Anticipated Start Date: As soon as possible ZF 0 <br /> Page 1 of 4 <br /> Burnett County, WI Land Use Application—Rev 3/2016 Z <br />