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LAND USE PERMIT APPLICATION — Burnett County, WI <br /> < - b <br /> y N <br /> Permit Fees: <br /> Dwelling/Principal Building-Single Family $300 Addition to Dwelling/Principal Building-Single Family $200 <br /> d <br /> DwellingfPrincipal Building-Multi-Family $300 Addition to Dwelling/Principal Building-Multi-Family $200 <br /> Commercial/Industrial Building $300 Addition to CommerciaUIndustrial Buildin $200 <br /> Accessory Structure(Non-Bunkhouse) EO <br /> Addition to Ace.Structure $150 Bunkhouse $250 1 m <br /> Accessory Structure-Commercial CI &Il) $200 Addition to Accessory Structure-Commercial Cl &ll $200 <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk/Driveway& o <br /> (Screen orches-in campgrounds only) $125 1 Gazebo(WI Stat 59.692(1 v)) $350 <br /> r <br /> Camping Unit $100 Filling/Gradin $150 ° <br /> I� <br /> Permit Extension(Valid for one year-Only I Allowed) $100 Boathouse $500 m <br /> w <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 andfees. <br /> *Items not listed above will be treated as accessory structures,such as:pergolas, landscaping, etc. <br /> Applicant Complete All Sections Below This Line o <br /> Applicant's Name: Douglas Hicks <br /> Applicant's Mailing Address: 11833 58th St N Lino Lkaes MN 55042 r) ro <br /> City State Zip < <br /> O y <br /> C <br /> Applicant's Telephone Number: ` o <br /> Applicant's Email: facesinwood@aol.com <br /> If staff has a question about this application how do you prefer to be contacted? Check one below. N <br /> S <br /> ❑Letter ❑Phone X Email g <br /> rro <br /> Legal Description: o <br /> Lot#:_1 CSM Vol.112 Pg. 249 OR 31 <br /> r <br /> Lot#: Block#: Subdivision Name: OR jdj <br /> o l} <br /> Gov't Lot#:6 OR 1/4 1/4 1 ' 1 <br /> Section#:_35 Town#:_40 N Range#:_16 W Town of. Oakland <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach <br /> tax system property page. <br /> r <br /> Parcel#(24 digits): 07-020-2-40-16-35-5 05-006-018000 1 <br /> n z <br /> Tax ID#(1-5 digits): 14002 T <br /> Property Site Address: 27543 Stone Rd <br /> TYPE OF PERMIT(S): Check appropriate box/boxes Fee Retx � <br /> LlSingle Family Dwelling El Multi-Family Dwelling ❑ Filling/Grading LlCommercial Building <br /> ❑ Single Family Addition ❑ Multi-Family Addition ❑ Deck/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 ❑ Retaining Wall ❑ Sidewalk/Driveway D <br /> Nz <br /> Proposed Structure/Addition Use: Garage Q <br /> (Home/Cabin,Commercial Business,Bedroom,-Deck etc.) Z <br /> Building Contractor:_Northland Builders Inc Master Plumber: NA Q Q o <br /> C rn <br /> Anticipated Start Date: Z 11 u u <br /> Page 1 of 4 Q <br /> Burnett County,WI Land Use Application—Rev 3/2016 <br />