Laserfiche WebLink
LAND USE PERMIT APPLICATION — Burnett County, WI r <br /> a � <br /> b <br /> Permit Fees: <br /> a <br /> Dwelling/Principal Building-Single Family $300 Addition to Dwell in /Princi al Building-Single Family $200 0 <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 /> Accessory Structure/Addition to Ace.Structure $150 Bunkhouse $250 t r <br /> 0 <br /> Accessory Structure-Commercial(C1&Il) $200 Addition to Accessory Structure-Commercial(Cl &Il $200 e ` <br /> Deck/Stairs/Patios $125 Gazebo(WI Stat 59.692(l v)) $350 0 \ CA <br /> Camping Unit $100 Filling/Grading $150 -' �C <br /> Permit Extension Valid for one year-Only 1 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. O ) Ca <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,retaining walls. <br /> Applica m Complete All Sections Below This Line Q <br /> N <br /> Applicant's Name: © 'f n /l Ik.CL S <br /> Applicant's Mailing Address:_S S7 E� fv\14 It �r 4 K t q r k wl /I t-44e j PCD('S, n� <br /> r / City State Zip 0 <br /> Applicant's Telephone Number: yZS I 3 Z 1 2Z Z- ,5 5 Sof g N l <br /> Applicant's Email: x t'1n 3 J� 6 Or"t Ca rt e W o 0 <br /> If staff has a question about this application how do you prefer to be contacted? Check one below. <br /> S <br /> ❑Letter .hone ❑Email O <br /> Legal Description:_ Loo— Z C-sCA�-, U 3 1p4io co, <br /> O� <br /> Lot#: CSM Vol. Pg. OR y Cj 1 <br /> Lot#: Block#: Subdivision Name: OR W <br /> X W <br /> Gov't Lot#: OR 1/4 1/4 <br /> o <br /> Section#: 3 Town #:—VO. N Range#: W Town of: �q int/ ( O G <br /> *Attach additionalpage( needed or lengthy description OR attach a co o the deed OR attach tax system ro er a e. <br /> Pag l f % Y P PY � Y p P 4 p g <br /> Parcel#(24 digits): - d <br /> Tax ID#(1-5digits): 3`Cz 1 <br /> Property Site Address#: Z�S p �S� \,,I v1 <br /> Road Name: J`�� Q 1�d City: `I v+Q S�Cr 1 (3\ 0 <br /> G <br /> TYPE nF PFRMrr(S): Check appropriate box/boxes Fee Rei. a1313 <br /> ❑ Multi-Family Dwelling ❑ Filling/Grading ❑ Commercial Building <br /> t'Single Family Addition ❑ Multi-Family Addition ❑ Deck/Patio ❑ Commercial Addition <br /> ❑ Stairs ❑ Acc. Structure(Non-bunkhouse) ❑ Bunkhouse ❑ Commercial Acc. Structure N <br /> ❑ Permit Extension ❑ Gazebo—WI Stat 59.692(ly) ❑ zCamping Unit ❑ Commercial Acc. Addition n W <br /> t� CZ M <br /> Proposed Structure/Addition Use: V��� t L� O <br /> (Home,'Cahn:Commercial Business:Bedroom:Deck:etc.) IV m C <br /> 11I II ooh <br /> Building Contractor:_ �l`' rS" f (_C Z _� e <br /> /� �X+ I.. CEJ '` i'� C G <br /> Anticipated Start Date:F�5s <br /> Page 1 of 4 cr <br /> Burnett County, WI Land Use Application- Rev 4/2015 �� <br />