Laserfiche WebLink
LAND USE PERMIT APPLICATION —Burnett County, WI a <br /> Permit Fees: ;n <br /> Dwelling/Principal Building-Single Family $300 Addition to Dwellin rinci al Building-Single Family $200 C7 <br /> Dwelling/Principal Building-Multi-Family $300 Addition to Dwellin rinci al Building-Multi-Family $200 <br /> Commercial/Industrial Building $300 Addition to Commercial/Industrial Building $200 <br /> Accessory Structure/Addition to Acc.Structure $150 Bunkhouse $250 E <br /> m <br /> Accessory Structure-Commercial Cl &11) $200 Addition to Accessory Structure-Commercial Cl &11) $200 <br /> Deck/Stairs/Patios $125 Gazebo WI Stat 59.692(]v)) $350 c <br /> Camping Unit $100 Filling/Grading $150 <br /> Permit Extension Valid for one year-Only 1 Allowed) $100 S <br /> *NOTE:After-the-fact(when no permit is obtained prior to construction)is three times the normal fee. <br /> *Communication Towers&Signs require a different application form,see corresponding application and fees. ' <br /> d <br /> *Items not listed above will be treated as accessory structures,such as:pergolas, landscaping, retaining walls. <br /> -o <br /> Applicant Complete All Sections Below This Line <br /> ]�GY l/e�fuf.— z <br /> Applicant's Name: �l P <br /> Applicant's Mailing Address: <br /> City State Zip <br /> C,np <br /> Applicant's Telephone Number: �5- <br /> - /�/ o z <br /> Aa <br /> Applicant's Email: p <br /> If staff has a question about this application how do you prefer to be contacted? Check one below. v l <br /> ❑Letter / tone ❑Email N w t)l <br /> Legal Description: 1n o- �Z. �l�rrn 5 <br /> ac <br /> Lot#: CSM Vol. Pg. OR <br /> Lot#: 7c— Block#: — Subdivision Name: SP r,,-I i LK Shores OR a 71 <br /> Gov't Lot#: OR 1/4 1/4 0 ( 1 <br /> ' / F <br /> Section#: Town#: 3 N Range#: 15 W Town of: I�C/�StCJ L Ul <br /> *Attach additional age if needed or lengthy description OR attach a copy of the deed OR attach tax system propertyPage.* y <br /> Parcel#(24 digits): 67 - O 1 y- a - 9 'I S- 0 y- S- IS- SS - oaa 600 OSU <br /> Tax ID#(1-5 digits): 10943 <br /> z <br /> y � <br /> Property Site Address#: � <br /> Road Name: City: <br /> TYPE OF PERMIT(S): Check appropriate box/boxes Fee Recon <br /> ❑ Single Family Dwelling ❑ Multi-Family Dwelling ❑ Filling/Grading ❑ Commercial Building <br /> ❑ Single Family Addition ❑ Multi-Family Addition ❑ Deck/Patio ❑ Commercial Addition y <br /> m <br /> ❑ Stairs L3 Acc. Structure(Non-bunkhouse) 24unkhouse L3 Commercial Acc. Structure N <br /> ❑ Permit Extension ❑ Gazebo-WI Stat 59.692(iv) ❑ Camping Unit ❑ Commercial Acc. Addition Q <br /> ,/ z �1 <br /> Proposed Structure/Addition Use: SYC/ r%q 3 0'YSa t trRR C/- < a5 r_ Lv/PIU116,� > Z U u u <br /> omeXabin;Commercial Business;Bedroom;Deck;etc.) O m <br /> O Cq <br /> Building Contractor: �� ? <br /> Mme ® <br /> Anticipated Start Date: m v <br /> Page 1 of 4 0U <br /> Burnett County,WI Land Use Application — Rev 4/2015 <br /> 3 <br /> v <br /> s <br /> m <br /> A <br /> m <br />