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Cn <br /> LAND USE PERMIT APPLICATION —Burnett Count-, WI <br /> a <br /> Permit Fees: 0' r a <br /> a <br /> Dwelling/Principal Building-Sin le Family $300 Addition to Dwelling/Principal Building-Sin le Family $200 �z O <br /> Dwellin rinci al Building-Multi-Fanil $300 Addition to Dwellin rinci al Building-Multi-Family $200 <br /> Commercial/Industrial Building $300 Addition to Commercial/Industrial Building $200 <br /> Accessory Structure(Non-Bunkhouse) <br /> Addition to Acc.Structure $150 Bunkhouse $250 I 9 <br /> Accessory Structure-Commercial CI &Il) $200 Addition to Accessory Structure-Commercial CI &Il $200 n I <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk/Driveway& o <br /> Screen orches-in campgrounds only) $125 Gazebo WI Stat 59.692 I v) $350 <br /> Camping Unit $100 Filling/Grading ° <br /> $150 <br /> Permit Extension Valid for one year-Only 1 Allowed) $100 Boathouse $500 w <br /> �. <br /> *NOTE:After-the-fact(when no permit is obtained prior to construction)is up to three times the normal fee. <br /> *Communication Towers&Signs require a different application form,see corresponding application and fees. ti <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. <br /> Applica Comlepte All Sections Below This Line o <br /> Applicant's Name: ✓`� <br /> Applicant's Mailing Address: 1439� k ✓ ( I r c b .A't,� A �j�f ren e <br /> z <br /> �! City State Zip o <br /> Applicant's Telephone Number: V 75 b b -1 0-1c 5 + o t <br /> Applicant's Email: ! ,pf L t e-g06 I V yy\ SN 1(0✓� `; <br /> If staff has a question about this application how do you prefer to be contacted? Check one below. N ao I <br /> ❑Letter f0hone ❑Email �• <br /> Legal Description: <br /> w <br /> Lot#: CSM Vol. Pg. OR <br /> Lot#: Block#: Subdivision Name: OR £ j <br /> Gov't Lot#:A—OR 1/4 1/4 1 ° <br /> Section kal:� Town#: � _N Range#:� W Town of: <br /> (1110en ny-) -� <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* <br /> Parcel#(24 digits): Q <br /> Tax ID#(1-5 digits): ('0a <br /> �J J� <br /> Property Site Address: ('0aQ P I� K� La I� <br /> s <br /> TYPE OF PERMIT(S): Check appropriate box/boxes Fee Re( �. 1 <br /> ❑ Single Family Dwelling ❑ Multi-Family Dwelling ❑ Filling/Grading ❑ Commercial Building <br /> ❑ Single Family Addition ❑ Multi-Family Addition ❑ Deck/Patio ❑ Commercial Addition <br /> ❑ Stairs ❑ Acc. Structure(Non-bunkhouse) ❑ Bunkhouse ❑ Commercial Acc. Structure <br /> ❑ Permit Extension ❑ Gazebo-WI Stat 59.692(Sv) ❑ Camping Unit ❑ Commercial Acc.Addition W <br /> ❑ Boathouse ❑ Screen porch-campgrounds only ❑ Retaining Wall ❑ Sidewalk/Driveway � <br /> C <br /> Proposed Structure/Addition Use: ?f) e- 1�;etf Aj IM r-- <br /> (Name/Cabin;Commercial Business;Bedroom;Deck;etc.) Z <br /> Building Contractor: f2- AA-1Z-,Lyl.\ he rMaster Plumber: Z o <br /> Anticipated Start Date:�l 17 , b Z <br /> AUG 'S Z(Rage4 <br /> Burnett County,WI Land U plication—Rev 6 <br /> BURNETT COUNTY <br /> ZONING <br />