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LAND USE PERMIT APPLICATION—Burnett County, WI g <br /> y <br /> Permit Fees: ut <br /> Dwelling/Principal Building-Single Family $300 Addition to Dwelling/Principal Building-Single Family $200 . <br /> Dwelling/Principal Building-Multi-Family $300 Addition to Dwelling/Principal Building-Multi-Family $200 A <br /> Commercial/Industrial Building $300 Addition to Commercial/Industrial Building $200 V <br /> Accesso Structure/Addition to Acc.Structure 5150 Bunkhouse $250 1 <br /> AccessoryStructure-Commercial CI&11) $200 Addition to Accessory Structure-Commercial Cl &11 $200 <br /> Deck/Stairs/Patios $125 Gazebo WI Stat 59.692(l v $350 t� <br /> Camping Unit $100 Filling/Grading $150 <br /> Permit Extension Valid for one year-Only 1 Allowed $100 <br /> o <br /> "NOTE:After-the-fact(when no permit is obtained prior to construction)is 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,retaining walls. 7 <br /> m <br /> Applicant Complete All Sections Below This Line <br /> z <br /> Applicant's Name: Don Bauerfeld <br /> Applicant's Mailing Address: 285 Crestfiew Dr Hastings MN 55033 <br /> City State Zip <br /> 3 z <br /> Applicant's Telephone Number: o v <br /> — c <br /> a � <br /> Applicant's Email: dondjb@hotmail.com o G <br /> m <br /> io <br /> If staff has a question about this application how do you prefer to be contacted? Check one below. i <br /> 'o <br /> ❑Letter ❑Phone ❑Email N 1 <br /> 0 <br /> Legal Description: ' <br /> Lot#:_2 CSM Vol._6 Pg._268 OR o <br /> 3. <br /> Lot#: Block#: Subdivision Name: OR <br /> Gov't Lot#: 8 OR 1/4 1/4 o <br /> 1 <br /> Section#:_20 Town#:_40 N Range#:_14 W Town of:_Scott „ 1 <br /> 'Attach additionalpage i needed or lengthy description OR attach a co o the deed OR attach tax system ro erty page. IyJ .t <br /> Pag % .f 8t Y P PY f Y P P P % [� <br /> Parcel#(24 digits): 07-028-2-40-14-20-5 05-008-012000 "T <br /> a <br /> z <br /> Tax ID#(1-5 digits): 18301 � a � <br /> Property Site Address#:_2992 <br /> Road Name:—Oak Lake Rd City:_Webster <br /> F <br /> TYPE OF PERMIT(S): Check appropriate box/boxes Fee Rec: 16 <br /> ❑Single Family Dwelling ❑ Multi-Family Dwelling ❑ Filling/Grading ❑ Commercial Building <br /> ❑Single Family Addition ❑ Multi-Family Addition ❑ Deck/Patio ❑ Commercial Addition 6 <br /> ❑ Stairs X Acc. Structure (Non-bunkhouse) ❑ Bunkhouse Cl Commercial Acc. Structure N <br /> ❑ Permit Extension ❑ Gazebo–WI Stat 59.692(ly) ❑ Camping Unit ❑ Commercial Acc. Addition <br /> Proposed Structure/Addition Use:_Garage > o <br /> (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) (") <br /> 4 <br /> Building Contractor: Northland Builders Inc t� <br /> o <br /> N /J <br /> Anticipated Start Date:—10/26 <br /> Page 1 of 4 f11 <br /> Burnett County,WI Land Use Application – Rev 4/2015 [ <br /> x <br /> M <br />