Laserfiche WebLink
LAND USE PERMIT APPLICATION — Burnett County, WI r <br /> a � b <br /> v <br /> Permit Fees: 2 <br /> Dwelling/Principal al Building-Single Family $300 Addition to Dw;,llm /Pnncipal Budding-Single Family 5200 <br /> Dwell ing/Princi al Building-Multi-Tamil 5300 Addition to Uw:llm !Principal &ilding Multi Family 5200 <br /> Commercial/Industrial Building 5300 Addition to Coww,jcj:d/Industrial Building 5200 <br /> Q <br /> Accessory Structure/Addition to Ace.Structure 5150 I3wrktan1_1e 5S. 250 <br /> Accessory Structure-Commercial(C I &I h 9200 Addition to Actessory Structure-Commercial(CI &I I) 5200 - <br /> De&'Stairs/Patics9125 GazebolWlSt:a59.092(Iv)) 5350 O t <br /> CampingLnit $10(1 Fillin /Grading SI,SO <br /> r <br /> Permit Extension(Valid fitr one year-Only I Allowed) $100 ° <br /> *NOTE.:Allcr-the-fact(when no permit is obtained prior to construction)is three times the normal fee. � n <br /> *Communication Towers&Signs require a different application form,see corresponding application and fees. <br /> :57- <br /> *ltenis not listed above will be!rented as accessory sGlretures,such as:pergolas, londsccrphtg, retabring walls. <br /> 1 <br /> Applicant Complete All Sections Below This Line <br /> ^� o <br /> Applicant's Name: <br /> Applicant's Mailing Address: 6160 Woodchuck Cir., white Bear Lake, MN 55110 9L) <br /> City State Zip <br /> ? z <br /> Applicant's Telephone Number: 651-238-2944 0 �� <br /> Applicant's Email: c m t.n t p <br /> rJ <br /> I f staff has a question about this application how do you prel'cr to be contacted? Check one below. ! <br /> ❑Letter hone ❑Fntail N h t <br /> Legal Description: <br /> Lot ft: CSM Vol. Pg. OR <br /> Lot#:_�Block N:O Subdivision Name: lPrincess Pine Shores_ . _ OR <br /> Gov't Lot fl: OR <br /> 1/4 _ 1.4 (� s <br /> Section#: Town#: N Range 4:_ W Tossn of: <br /> *Allach additional <br /> page if needed.far lengthy description OR attach a copy of the deed OR attach tax system proper!}=page. <br /> Parcel (24 digits): 1 <br /> 07-036-2-40-17-13-515-600-018000 <br /> N <br /> fax ID (1-5 digits): 25450 z <br /> v <br /> Property Site Address k: 28522 — <br /> Road dame: iBlueberry Lane Cite; Town of Unlon <br /> c <br /> TYPE OF PERMIT(S): Check appropriate box/boxes Fee Recj_,Z�00 <br /> ❑ Single Family Dwelling ❑ Multi-Family Dwelling ❑ Filling/Grading ❑ Commercial Building — <br /> ❑ Single Family Addition ❑ Multi-Family Addition ❑ Deck/Patio ❑ Commercial Addition H <br /> 0 <br /> ❑ Stairs ❑ Ace Structure (Non-bunkhouse) Bunkhouse LJCommercial Acc. Structure N <br /> ❑ Permit Extension ❑ Gazebo—WI Stat 59.692(ty) ❑ Camping Unit ❑ Commercial Acc. Addition <br /> Proposed Structure/Addition the: Bunkhouse/Playhouse <br /> (l-loure Cob)r Corm",, a li,gym. I?,,,/......a, Deck:clef zN x <br /> Building Contractor: Dalt s Miller --- — KZ <br /> Anticipated Start Date: ASAP/September 20, 2015 R Z Q <br /> Page l of 4 � <br /> Burnett County, WI Land Use Application —Rev 4/2015 <br /> m <br />