
ST. LOUIS COUNTY, MN
PLANNING AND ZONING DEPARTMENT
Government Services Center
Government Services Center
320 West 2nd Street, Suite 301
201 South 3rd Avenue West
Duluth, MN 55802
Virginia, MN 55792
(218) 471-7103
(218) 471-7103
LAND USE PERMIT APPLICATION
Your Contact Information.
If the information is not correct, you may need to update your contact information using the 'Edit Contact Info' option once you have filled out this application.
Steven
Polich
5831 Highway5
Alborn
MN
55702
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sspolich@gmail.com
Any
General - This application is used to apply for a Land Use Permit. Applicants will need to attach the appropriate worksheet(s) in order to process. Incomplete applications will be returned. Note that the 'clock' does not begin until after payment has been processed for the application. For more information, see our website at:
www.stlouiscountymn.gov/BuildingStructures
225-0020-00510
Enter Applicant Information
Landowner
Steven Polich
5831 Highway5
Alborn
MN
55702
(218)780-4860
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Mailing Address Information.
This address can default from the address you selected. If the values defaulted are not correct, please enter the correct information.
Steven Polich
5831 Highway5
Alborn
MN
55702
sspolich@gmail.com
Site Information
If there is no site address, the application will be forwarded to 911/Communications to assign one.
Yes
5831 Highway 5
Alborn, MN 55702
No
US Forest Service
US Forest Service
MN DNR, Area Hydrologist
MN DNR, Area Hydrologist
MN DNR Land and Minerals
MN DNR Land and Minerals
St. Louis County - Duluth
St. Louis County - Duluth
Government Services Center
320 West 2nd Street, Suite 301
St. Louis County - Virginia
St. Louis County - Virginia
 
Do you have written authorization from the leased property owner?
If Yes, you must attach written authorization form.
How is the property accessed?
Enter Project Information.
If you answered 'Yes' to any of the questions below, it is required that you submit a copy of a septic permit to construct or certificate of compliance approval or municipal/sanitary district approval when applying for a land use permit.
Is this project on a parcel less than 2.5 acres?
No
Is this project within 300 feet of a stream/river or 1,000 feet of a lake?
No
Is this project adding a bedroom?
Include home, garage, and accessory dwelling.
No
Total # of bedrooms on property after project completion.
2
Does this project include plumbing or pressurized water in proposed structure?
No
If Yes, please explain:--
Is this project connected to a municipal or sanitary district system?
No
What are you applying for? Check all that apply to this project.
Is this a New Dwelling?
Home, Mobile Home, Hunting Shack, or Cabin (includes attached deck, if applicable). Select No if this is a Replacement of Existing Dwelling.
No
Indicate the total number of new structures that are between 1-1200 sq. ft. and/or over 1201 sq. ft.
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Is this a Replacement of Existing Dwelling?
Home, Mobile Home, Hunting Shack, or Cabin.
If Yes, an affidavit must be filled out stating when the old dwelling will be removed.
If this dwelling is a mobile home, there is a special mobile home affidavit to be filled out.
No
Indicate the total number of new structures that are between 1-1200 sq. ft. and/or over 1201 sq. ft.
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Accessory Dwelling?
Guest cottage or bunkhouse. Must follow administrative standards.No
Indicate the total number of new structures that are between 1-1200 sq. ft. and/or over 1201 sq. ft.
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Accessory Structure?
Garage, Pole
Building, Shed, Sauna, Screenhouse or Gazebo that either meets lake or river setback or not located in a shoreland area.Yes
Indicate the total number of new structures that are between 1-1200 sq. ft. and/or over 1201 sq. ft.
1,152
0
Water-oriented Accessory Structure?
Boathouse, Sauna, Screenhouse or Gazebo on a lake or river located at reduced shoreline setback. Must follow administrative standards.No
Indicate the total number of new structures that are between 1-1200 sq. ft. and/or over 1201 sq. ft.
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Indicate the total number of new structures that are between 1-1200 sq. ft. and/or over 1201 sq. ft.
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Other Principal Structure?
Indicate the total number of new structures that are between 1-1200 sq. ft. and/or over 1201 sq. ft.
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No
Does the structure meet the required shoreline setback?
If this property is not located on a lake or river, check Yes. If the structure does not meet the shoreline setback, a performance standard permit or variance may be required.
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Is this an addition to an existing dwelling?
No
Check no if adding a new deck and new dwelling was checked above.
No
No
No
No
No
No
Change in Use? (e.g. converting an old cabin to storage)?
No
What will the new use of the structure be? Explain the current and proposed structure.--
Will a permit extension be required beyond 2 years?
No
Is this a site visit/evaluation request?
Site Visit/Evaluation
No
Yes
New Structures Information
Slab
36
32
1,152
16
Is this a structure addition?
No
Structure Additions Information
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By submitting this application, I certify and agree that I am the owner or the authorized agent of the owner of the above property, and that all uses will conform to the provisions of St. Louis County. I further certify and agree that I will comply with all conditions imposed in connection with the approval of the application. Applicants may be required to submit additional property descriptions, property surveys, site plans, building plans, and other information before the application is accepted or approved. Intentional or unintentional falsification of this application or any attachments thereto will make the application, any approval of the application and any result invalid. I authorize St. Louis County staff to inspect the property to review the application and for compliance inspections. Furthermore, by submitting this application, I release St. Louis County and its employees from any and all liability and claims for damages to person or property in any manner or form that may arise from the approval of the application or any related plans, the issuance of any resulting permit or the subsequent location, construction, alteration, repair, extension, operation or maintenance of the subject matter of the application.
If your name, contact information or email address have changed, you should update your contact information in the portal by selecting 'Maintain Contact Information' at the top of this page.
Steven Polich
sspolich@gmail.com
I have read and agree to the statement above.