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C <br /> LAND USE PERMIT APPLICATION — Burnett County, WI <br /> Permit Fees: <br /> Dwellin rinci al Building-Single Family $300 Addition to Dwelling/Principal Building-Single Family $200 <br /> Dwelling/Principal Building-Multi-Family $300 Addition to Dwelling/Principal Building-Multi-Family $200 <br /> Commercial/industrial Building $300 Addition to Commercial/Industrial Building $200 �- <br /> O <br /> Accessory Structure/Addition to Acc.Structure $150 Bunkhouse $250 <br /> Accessory Structure-Commercial CI&11 $200 Addition to Accessory Structure-Commercial Cl&Il $200 <br /> Deck/Stairs/Patios $125 Gazebo WI Stat59.692(]v)) $350 <br /> Camping Unit $100 Filling/Grading $150 <br /> Permit Extension Valid for one year-Only1 Allowed $100 <br /> *NOTE:After-the-fact(when no permit is obtained prior to construction)is three times the normal fee. v, <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 . 7 <br /> z <br /> 0 <br /> Applicant's Name: Glen Doriott <br /> Applicant's Mailing Address: 4724 Mallard Lake Rd Webster WI 54893 <br /> City State Zip y <br /> Applicant's Telephone Number: 715-866-8383 0 <br /> c <br /> o. \ <br /> Applicant's Email: glenndoriott@netscape.net a <br /> If staff has a question about this application how do you prefer to be contacted? Check one below. <br /> ro <br /> ❑Letter ❑Phone X Email � <br /> Legal Description: W 15 Acres lyg S of County Rd A Ex W 66'and E 33' <br /> Lot#: CSM Vol. Pg. OR <br /> 5. <br /> Lot#: Block#: Subdivision Name: OR a <br /> Gov't Lot#: OR—NE-1/4_NE 1/4 6 <br /> 1 I <br /> Section#: 18 Town#: 39 N Range#: 16 W Town of: Meenon <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): 07-018-2-39-16-03-101-000-012000 I <br /> Tax ID#(1-5 digits): 11074 n z <br /> � a <br /> Property Site Address#: 6716 y <br /> Road Name: Old A City: Webster <br /> E <br /> TYPE OF PERMIT(S): Check appropriate box/boxes Fee Rec .� <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 X Commercial Acc. Structure <br /> C <br /> ❑ Permit Extension L3 Gazebo-WI Stat 59.692(ly) L3 Camping Unit Ll Commercial Acc.Addition C <br /> =1 I> <br /> Proposed Structure/Add' ' n Use:_Storage unitsy iV (Z <br /> (Home/Cabin;Commercial Business;Bedroom;Deck:etc.) Q <br /> 1 oKA <br /> J u ll <br /> Building Contractor: {�-1 1I �U { Z C) N <br /> � ® <br /> Anticipated Start Date: t ULR It U T M Z <br /> �ge 4 0 <br /> Burnett County,WI Land U pq at n ZOIzev 5 D � <br /> BURNETT COUNTY <br /> ZONING <br />