Laserfiche WebLink
LAND USE PERMIT APPLICATION —Burnett County, WI g <br /> z <br /> 4 ~ <br /> Permit Fees: to <br /> Dwellin rinci al Building-Single Family $300 Addition to Dwelling/Principal Building-Single Family $200 a <br /> DwellinglPrincipal Building-Multi-Family $300 Addition to Dwelling/Principal Building-Multi-Family $200 <br /> CommerciaVlndustrial Building $300 Addition to Commercial/Industrial Building $200 Z7 0 <br /> Accessory Structure/Addition to Acc.Structure $150 Bunkhouse $250 1 <br /> Accessory Structure-Commercial Cl&Il $200 Addition to Accessory Structure-Commercial Cl&11 $200 ft <br /> Deck/Stairs/Patios $125 Gazebo WI Stat 59.692 lv $350 <br /> Camping Unit $100 Filling/Grading <br /> $150 <br /> Permit Extension Valid for one year-Only 1 Allowed $100 S <br /> *NOTE:After-the-fact(when no permit is obtained prior to construction)is three times the normal fee. E, <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. <br /> ro <br /> Applicant Complete All Sections Below This Line . <br /> Z <br /> Applicant's Name: Thomas Denman Trust G <br /> Applicant's Mailing Address: 3675 Jeffers Parkway NW Prior Lake MN 55372 <br /> City State Zip d a <br /> Applicant's Telephone Number:_952-200-7731 0tR <br /> c <br /> Applicant's Email: tdenman@ymail.com C \ <br /> If staff has a question about this application how do you prefer to be contacted? Check one below. � <br /> ro l <br /> ❑Letter ❑Phone XEmail N <br /> Legal Description:_Lot 1 CSM 4/257 �' l <br /> Lot#:_1 CSM Vol. 4 Pg. 257 OR C <br /> N <br /> Lot#: Block#: Subdivision Name: OR s l <br /> Gov't Lot#:_l OR 1/4 1/4 <br /> Section#: l3 Town#: 40 N Range#: 15_W Town of. Jackson <br /> *Attach additional page if neededfor lengthy description OR attach a copy of the deed OR attach tax systemproperty page.* y I 1 <br /> Parcel#(24 digits):_o7-012-2-40-15-13-5 05-001-018000 d <br /> Tax ID#(I-5 digits): 5245 r) z <br /> � � J <br /> Property Site Address#:_28658 <br /> Road Name: Bridge Rd City: Danbury <br /> TYPE OF PERMIT(S): Check appropriate box/boxes Fee Rec:No , <br /> ❑ Single Family Dwelling ❑ Multi-Family Dwelling ❑ Filling/Grading ❑ Commercial Building <br /> ❑ Single Family Addition ❑ Multi-Family Addition ❑ Deck/Patio ❑ Commercial Addition <br /> X Stairs ❑ Acc. Structure(Non-bunkhouse) ❑ Bunkhouse ❑ Commercial Acc. Structure N C �--� <br /> ❑ Permit Extension ❑ Gazebo—WI Stat 59.692(ly) ❑ Camping Unit ❑ Commercial Acc. Addition M <br /> � Z o <br /> Proposed Structure/Addition Use:_Stairs to lake -Q <br /> (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) 'I U u U <br /> n <br /> Building Contractor: Northland Builders Inc 150 o <br /> C it <br /> Anticipated Start Date: 10/20/2015 Z <br /> Page 1 of 4 o e <br /> Burnett County, WI Land Use Application —Rev 4/2015 <br />