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LAINU UniE YIN WV11I AYYLIUAI WiN —Burnett UOuntV* WI g b <br /> Permit Fees: —o• <br /> 7 � � <br /> Dwelling/Principal Building-Single Family $300 Addition to Dwelling/Principal Building-Sin le Family $200 =Z. a a <br /> O ' <br /> Dwelling/Principal Building-Multi-Family $300 Addition to DwellingfPrincipal Building-Multi-Family $200 <br /> Commercial/Industrial Building $300 Addition to Commercialtlndustrial Building $200 <br /> Accessory Structure/Addition to Acc.Structure $150 Bunkhouse $250 , <br /> Accessory Structure-Commercial(CI&Il) $200 Addition to Accessory Structure-Commercial(Cl&Il) $200 I t <br /> Deck/Stairs/Patios $125 Gazebo(WI Stat 59.692 tv $350 n <br /> Camping Unit $100 Fillin Gradin g 1 <br /> $150 <br /> Permit Extension(Valid for one year-Only 1 Allowed) $100 0 <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 dfferent 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 /> Z <br /> Applicant's Name: F_az L •-3 A C:t.&t?tJ <br /> Applicant's Mailing Address: L�7. L A eiml Lk!- �hiIVJ44Cr yVlry S <br /> City State Zip t, <br /> z <br /> Applicant's Telephone Number: (P i z <br /> C <br /> Applicant's Email: -e �-(._soo. Dome,, mA 1!, (-OM a <br /> If staff has a question about this application how do you prefer to be contacted? Check one below. i <br /> Letter ❑Phone Email 00 1 <br /> N <br /> o \ <br /> Legal Description: 5• rn <br /> Lot#: CSM Vol. Pg. OR <br /> o I <br /> S. <br /> Lot#: Block#: Subdivision Name: OR „ <br /> Gov't Lot#: OR 1/4 1/4 <br /> Section#: Town#: N Range#: W Town of: <br /> *Attach additional page if neededfor lengthy description OR attach a copy of the deed OR attach tax system propertyPage. y <br /> * <br /> i <br /> Parcel#(24 digits): n <br /> Tax ID#(1-5 digits): r) z <br /> Property Site Address#: 30O L q N <br /> Road Name: SOW Q2 LUe, City: J)Opo du.R l <br /> TYPE OF PERMIT(5): Check appropriate box/boxes Fee Rec: o� <br /> ❑ Single Family Dwelling ❑ Multi-Family Dwelling ❑ Filling/Grading ❑ Commercial Building ,•, <br /> ❑ Single Family Addition ❑ Multi-Family Addition ❑ Deck/Patio LICommercial Addition <br /> ❑ Stairs 'Acc. Structure(Non-bunkhouse) ❑ Bunkhouse ❑ Commercial Acc. Structure C C=s <br /> ❑ Permit Extension El Gazebo—WI Stat 59.692(iv) mpt ❑ Commercial Acc.Addition <br /> Proposed Structure/Addition Use: H Z z <br /> (Home/Cabin;C mercial Business Bedroom'De <br /> KO: O <br /> Building Contractor: S S dl l t1 e rS Deck .J <br /> 3.4 <br /> ZZ O <br /> Anticipated Start Date: Al All LO 1 S' npd�5 <br /> V t rya <br /> Burnett County,WI Land U P%A*tipq�-Rgv <br /> BUANETT COUNTY <br /> ZONING <br />