Laserfiche WebLink
LAND USE PERMIT APPLICATION — Burnett County, WI a C <br /> s - b <br /> O <br /> Permit Fees: <br /> Dwelling/Principal Building-Single Family $300 Addition to Dwellin Princi al Building-Single Family $200 C7L <br /> Dwelling/Principal Building-Multi-Fan-y $300 Addition to Dwellin rinci al Building-Multi-Famil $200 B <br /> Commercial/Industrial Building $300 Addition to Commercial/Industrial Building $200 <br /> Accessory Structure(Non-Bunkhouse) E <br /> Addition to Acc.Structure $150 Bunkhouse $250 <br /> Accessory Structure-Commercial C1 &11) $200 Addition to Accessory Structure-Commercial Cl & 111 $200 <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk/Driveway& e� <br /> Screenporches-in campgrounds only) $125 Gazebo WI Stat 59.692(l v $350 S <br /> Camping Unit $100 Filling/Grading $150 <br /> Permit Extension Valid for one year-Only I Allowed $100 Boathouse $500 d <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. b <br /> *Items not listed above will be treated as accessory structures,such as:pergolas, landscaping,etc. <br /> Applicant Complete All Sections Below This Line o <br /> Applicant's Name: ) <br /> Applicant's Mailing Address: /400 `® ( � fla J!f 893 <br /> City State zip # <br /> Applicant's Telephone Number: 6OOp 29q X-299' i <br /> Applicant's Email: L �/�,j dT 9� � (mss-� j��y/Q'L. 41Af!!�7 :: O <br /> If staff has a question about this appli ation how do you prefer to be contacted? Check one below. � <br /> w I <br /> 60Letter hone ❑Email a <br /> ac <br /> Legal Description: CO/VXj02(ej40CJ6 N lbe>v?) <br /> N <br /> A <br /> Lot#: CSM Vol. Pg. OR C, <br /> Lot#: Block#: Subdivision Name: OR E <br /> Gov't Lot#: OR 1/4 1/4 = <br /> Section#:2 Town#:_ISN Range#:__t(2 _W Town of: <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 OW Z 40 {6 Z 7 S16 -2 eW � 1 <br /> � z U <br /> Tax ID#(1-5 digits): V 92Q H f <br /> Property Site Address: jr j/.V 64,11r-A d <br /> TYPE OF PERMIT(S): Check appropriate box/boxes Fee Rec:�� <br /> Ll Single Family Dwelling ❑ Multi-Family Dwelling L3Filling/Grading L3 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(ly) ❑ Camping Unit ❑ Commercial Acc.Addition <br /> ❑ Boathouse ❑ Screen porch—campgrounds only ❑ Retaining Wall ❑ Sidewalk/DrivewayO Z z <br /> M � u <br /> Proposed Structure/Addition Use: SfORAGAf Z <br /> (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) Z n O <br /> Building Contractor: Master Plumber: �_ G)Z <br /> Anticipated Start Date: <br /> Page 1 of 4 � <br /> Burnett County,WI Land Use Application—Rev 3/2016 <br />