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LAND USE PERMIT APPLICATION - Burnett County, WI <br /> Permit Fees: <br /> Dwelhn , rincipal Buildin•-Single Family $300 Addition to Due1hnZPnncl al Building-Single Famil $200 - "-f^••-- <br /> Dwelling Principal Building-Multi-Family S300 Addition to Dwdlin•Pnnci al Building-Multi-Fainih $200 <br /> Commercial Industnal Building $300 Addition to Conviterciallhidtutrial Building $200 <br /> AccessoryStructure::Addition to.Acc.Structure $150 Bunkhouse 5250 <br /> 1 <br /> Accessory Structure-Commercial JC1&11) $200 Addition to Accessory Structure-Commercial kC1& 11) $200 - —_ <br /> fxck.'Stairs'Patws St25 C,azeMi(N'I Stat 59-69_'t 1 <br /> Camping Unit 5100 Filhn 'Oadm Soo <br /> Permit Eatcrision lValid for one year-Only I Alio:sed) $100 <br /> *NOTE-After-the-fact t wheat no pcmtit is oMained prior to construction)is tbree times the normal fee. <br /> 'Communication lowers A.Signs require a dr#erenf upp,'wana❑(iron.see owrespondrng uprlication and loPa <br /> ")tams not 63ied a&ore will he treated ui uuc_son smr ctures..utch tiA:pergulak.la2d fins;,reruintne walCa. <br /> Applicant Complete All Sections Below This Line t <br /> — z <br /> Applicant's Name:_��� _ �,N � <br /> Applicant's Mailing Address:_63,s o_ <br /> City State Zip <br /> (' —/ Sso319 r <br /> Applicant's Tckphone Number. �pS-L-2_1q-_3 -L$ 1 <br /> G AkA- L, C QNt c <br /> Applicant's Finail: tL}NA`1 _ [ y�0�_ �T __ <br /> If staff has a question about this application how do you prefer to be contacted? Check one below. <br /> ❑Letter Phone WFinail <br /> e <br /> Legal Description:_LQ' _3_�.d2M_ - <br /> lQz�� -- T S <br /> o r <br /> Lot a:--- A CSM vol S S � Pg. 3� OR U" <br /> Lot 4: Block '---____.---Subdivision Namc: -__ _ OR - <br /> Gov't Lot n: OR 1�4 1.'4 � <br /> - - - <br /> Section 7 own u. N Range,,;: N' Town oC_ i <br /> ".9rheclr addennnd r<tyr rf aerdcal)nr k•nethy ucaaripuon t)R uHuctr a aorc n/tha^da ad OR artac h rear<at<^nr prnpern raiAc.` 1Tj <br /> Parcel P(24 digits):_O-7 - D3 A -_2 - 9) 15 - 191- 3 D 3___007 O 1S 0.00 <br /> i u t <br /> T.r,Y ID r 11-5 digits). o? _`5 C75 <br /> _� <br /> Property Site Addre+s d' ] �\/ F �' <br /> b -- <br /> Road Namc:, Lila Kti _ <br /> s <br /> TYPE OF PERMIT(S):Check appropriate box/boxes Fee Rec:' �) <br /> ❑Single Family Dwelling ❑ Mutti-Family Dwelling :3 Filling/Grading ❑Commercial Building = <br /> ❑Single Family Addition ❑ Multi-Family Addition )"k/Patio O Commercial AddMon A <br /> ❑ Stairs ❑ Acc.Structure(Non-bunkhouse) ❑ Bunkhouse ❑Commercial Acc.Structure <br /> h <br /> ❑ Permit Extension ❑ Gazebo-WI Stat 59.692(ty) ❑Camping Unit ❑Commercial Acc.Addition _ <br /> r <br /> Proposed StructurciAddition Use: <br /> 'Anme'Cu1na.Crronmer�rn!Busi�m"�s. Badrrx>m !h [ et�-r r C <br /> Building C'ontractor:_ �.lsssl(�ttMPt�1.__�`�CV .� Z D <br /> �� n ^ m <br /> Anticipated Start Date. - .P <br /> Page I of 4 C) <br /> Burnett County, Wl Land Use Application-Rev 1/2016 :4 o <br /> b-C DT <br />