Laserfiche WebLink
LAND USE PERMIT APPLICATION —Burnett County, WI <br /> Permit Fees: <br /> c. <br /> Dwelling/Principal Building-Single Family $300 Addition to DwellingfPrincipal Building-Single Family $200 C7 <br /> Dwelling/Principal Building-Multi-Family $300 Addition to Dwelling/Principal Building-Multi-Famil $200 g <br /> Commercial/Industrial Building $300 Addition to Commercial/industrial Building $200 C <br /> Accessory Structure/Addition to Acc.Structure $150 Accessory Structure or Bunkhouse $250 1 i <br /> Accessory Structure-Commercial Cl&Il $200 Addition to Accessory Structure-Commercial CI&Il $200 l <br /> Deck/Stairs/Patios $125 Gazebo(WI Stat 59.692 Iv $350 <br /> < 1 <br /> Camping Unit $100 Filling/Grading $150 � 1 <br /> Pcrmit Extension Valid for one year-Only 1 Allowed 5100 <br /> *NOTE:Alicr-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:pergoias, landscaping, retaining walls. i✓_� <br /> � .fiEE�� '!S I3CItlWV'Itstii>w S' . <br /> 0 <br /> Applicant's Name: _.Timothy and Suzann Johnson n <br /> Applicant's Mailing Address: 5916 W 136th St Savage MN 55378 <br /> City State Zip <br /> Applicant's Telephone Number: 952-220-8014 = o Ly <br /> a ` 1 <br /> Applicant's Email: timmer4l@hotmail.com j rJ <br /> F. <br /> If staff has a question about this application how do you prefer to be contacted? Check one below. v <br /> b - <br /> ❑Letter ❑Phone X Email 's <br /> O <br /> Legal Description: _Lots 99- 101 Treasure Island Subdivision of Voyager Village �' V <br /> Lot#: CSM Vol. Pg. OR <br /> h <br /> Lot#:_100 Block#: _Subdivision Name:—Treasure Island add VV OR <br /> Gov't Lot#: OR 1/4 1/4 0Is <br /> Section#:_12 Town 4:_40 N Range#: 15 W Town of: Jackson I <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed.* <br /> Parcel#(24 digits):_07-012-2-40-15-12-5 15-750-107000 <br /> Tax ID#(1-5 digits): 8748 z <br /> y � <br /> Property Site Address#:_3599 y <br /> Road Name: Treasure Island Dr City: Danbury <br /> TYPE OF PERMIT(S): Check appropriate box/boxes Fee Rec: 8 ! r) <br /> ❑ Single Family Dwelling ❑ Multi-Family Dwelling ❑ Filling/Grading ❑ Commercial Building <br /> ❑ Single Family Addition ❑ Multi-Family Addition ❑ Deck/Patio ❑ Commercial Addition <br /> ❑ Stairs X Acc. Structure(Non-bunkhouse) ❑ Bunkhouse ❑ Commercial Acc. Structure C <br /> ❑ Permit Extension ❑ Gazebo—WI Stat 59.692(ly) ❑ Camping Unit ❑ Commercial Acc. Addition <br /> Proposed Structure/Addition Use: Garage 4 N Z <br /> (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) Q m 4a G <br /> o Z l� <br /> Building Contractor: Northland Builders Inc Z n �_ <br /> G)c <br /> Anticipated Start Date: 5/1/2015 <br /> Ln <br /> Page 1 of 4 <br /> Burnett County,W1 Land Use Application-Rev 3/2015 <br />