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LAND USE PERMIT APPLICATION - Burnett County, W1 z <br /> Permit Fees: a l3` <br /> Dwdli Princi Building-SirWjc rafnily 53011 Addition to Dwcllin 'Princi Builth -Single Family $200 <br /> Dwdli &Trinci 1 Building-Multi-Family 5300 Addition to DwOlin `Princi al Building-Multi-Family $2011 o <br /> ComnnrcialAndustrial BuildingS300 Addition to CommcrciaVindustrial Building $200 I` 60 <br /> Aca ssom,Swctum Addition to Acc.Structure 5150 Bunkhouse $250 <br /> Accesuiry Strvclurc-Commercial mer ial C I&11 S200 Addition to Accessory Structure-Commercial(CI&I I $200 - l <br /> IA^ck+Slair;/Palim SI2.5 flaricho(W]Stat 59-69200 5350 l <br /> Camping Unit $100 Fillin Kiradin $ISO D <br /> r <br /> PennithaYen.cion(Validforoncvar-OnlvIAllowed Sloo o gip` <br /> 'NOTE:After-the-fact(why no permit is obtained prior to construction)is three times the normal fee. <br /> "Communication'Powers&tiigns require a di <br /> creni application form,see corresponding application and fees. <br /> *Items not listed abmv will be treated ec+accesson•structures.such as.pergolas.hrndsca ing.rrraini ;walls. <br /> Applicant Cnmplcte All Sections Below This Line <br /> Applicant's Name:_Dan Hegstrand _ _ I e <br /> Applicant's Mailing Address:—l21 Wexford Heights Dr New Brighton MN 55112_ <br /> Citv State lip r% <br /> r z <br /> Applicant's Telephone Number. 61Z 3 2 S-(b r1.6.�? _ Q r `C? <br /> 0. <br /> Applicant's Email: danhcgsttandayahoo.com <br /> is <br /> If staff has a question about this application how do you prefer to be contacted? Check one below. <br /> w' I <br /> ❑Lcttcr 9phone ❑L:nlail <br /> Legal Description:_PCL in Gov Lot 3 _ QP_ <br /> Lot>: CSM Vol. Pg. _ OR <br /> 1.014: _Block 9: Subdivision Name: _ _ OR = , <br /> Gov't Lot V:-3_OR 1/4 114 — <br /> 3 <br /> Section a: 19 Town 4:-40-N Range if:_14 W Town of: Scott <br /> •,)trade additional page ifneeded far lengthy dexcriprir)tr OR attach a copy ofthe deed OR attach 1a slywem property,page.• I ' <br /> Parcel t, (24 digits):_07-028-2-40-14-19-5 05-003-016000 _ <br /> Tax ID#(1-5 digits):_18200 n z <br /> Property Site Address 9:_3138_ <br /> Road Name:. Kilstrom City:— Webster <br /> TYPE OF PERMIT(S): Check appropriate box/boxes Fee Rec., e <br /> ❑Single Family Dwelling D Multi-Family Dwelling �JFilling/Grading J Commeraal Building <br /> ❑Single Family Addition U ,(Mufti-Family Addition 1"1 fleck/Patio O Commercial Addition <br /> ❑Stairs x Acc. Structure(Non-bunkhouse) ❑ Bunkhouse J Commercial Acc.Structure " <br /> ❑ Permit Extension ❑ Gazebo-VVI Stat 59.692(ly) u Camping Unit ❑ Commercial Acc.Addition S <br /> Q <br /> Proposed Structure/Addition Use: SaunaC_ _ C <br /> fllome:,Cubia:Co nmcretal Rusinerr;&&oam;Deck;etcd +Ti 7D <br /> L Z o <br /> Building Contractor:_NUtland Builders Inc % o <br /> m <br /> Z_ bZ (Vlj <br /> Anticipated Start Date: 511,2016 _ Z n QQ t� <br /> Page 1 of 4 17 O <br /> Burnett County,WI Land Use Application—Rev 4/2015 y Z �U <br />