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LAND USE PERMIT APPLICATION—Burnett County, WI g b <br /> N <br /> Permit Fees: .. <br /> Dwelling/Principal Building-Single Family $300 Addition to Dwelling/Principal Building-Single Family $200 �u <br /> Dwelling/Principal Building-Multi-Family $300 Addition to Dwellin rinci al Building-Multi-Family $200 <br /> Commercial/Industrial Building $300 Addition to Commercial/Industrial Building $200 <br /> Accessory Structure/Addition to Acc.Structure $150 Accessory Structure or Bunkhouse $250 <br /> Accessory Structure-Commercial Cl &I I $200 Addition to Accessory Structure-Commercial Cl &II $200 <br /> Deck/Stairs/Patios $125 GazeboWlStat59.692(ly) $350 \ <br /> Camping Unit $100 Fillin Gradin $150 <br /> Permit Extension Valid for one year-Only I Allowed $100 b <br /> 'NOTE:After-the-fact(when no permit is obtained prior to construction)is three times the normal fee. w <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,retaining walls. Q <br /> Applicant Complete All Sections Below This Line a <br /> Z <br /> Applicant's Name: Bruce and Cheryl Miller oi ' <br /> Applicant's Mailing Address:-5060 Nicklaus Dr NW Rochester MN 55901 <br /> City State Zip y ti <br /> 3 z <br /> Applicant's Telephone Number: o H d <br /> c <br /> a <br /> 6 <br /> Applicant's Email: bcmillergolf@charter.net o <br /> w <br /> If staff has a question about this application how do you prefer to be contacted? Check one below. I <br /> ❑Letter ❑Phone ❑Email N 00 <br /> Legal Description: Rooney Lake Pines Lot 3 9 <br /> Lot#: CSM Vol. Pg. OR o <br /> H <br /> 5. <br /> Lot#:_3 Block#: Subdivision Name:—Rooney Lake Pines OR <br /> Gov't Lot#: OR 1/4 1/4 <br /> Section#:_1 l Town#:_40 N Range#:_14 W Town of.—Scott 1 <br /> 'Attach additional page if needed for lengthy description OR attach a copy of the deed. <br /> Parcel#(24 digits):_07-028-2-40-14-11-5 15-662-012000 <br /> Tax ID#(1-5 digits): 19224 z <br /> Property Site Address#:_28873 <br /> Road Name:_E Rooney Lake Dr City: Spooner <br /> F <br /> TYPE OF PERMIT(S): Check appropriate box/boxes y Fee Rec: 1e <br /> ❑Single Family Dwelling Ll Multi-Family Dwelling ❑ Filling/Grading ❑ Commercial Building x <br /> on <br /> X Single Family Addition ❑ Multi-Family Addition ❑ Deck/Patio ❑ Commercial Addition <br /> 0 <br /> ❑Stairs ❑ Acc. Structure (Non-bunkhouse) ❑ Bunkhouse ❑ Commercial Acc. Structure <br /> ❑ Permit Extension ❑ Gazebo–WI Stat 59.692(ly) ❑ Camping Unit ❑ Commercial Acc. Addition z <br /> Proposed Structure/Addition Use: Addition to cabin/home C Q e ��ooy� y C <br /> (Home/Cabin;Commercial Business;Bedroom;Deck:etc.) �`m' D <br /> Building Contractor: Northland Builders Inc. 9 -4 <br /> Anticipated Start Date: 6/1/2016 O <br /> Page 1 of 4 c C o <br /> Burnett County,WI Land Use Application—Rev 3/2015 <br /> 3 <br /> o <br /> x <br /> M <br />