Laserfiche WebLink
LAND USE PERMIT APPLICATION— Burnett County, WI a _ <br /> N ^ ' <br /> rn H <br /> Permit Fees: S ?� <br /> a <br /> DwellingfPrincipal Building-Single Family $300 Addition to Dwelling/Principal Building-Single Family $200 <br /> Dwellin Princi al Building-Multi-Family $300 Addition to Dwelling/Principal Building-Multi-Family $200 <br /> Commercial/Industrial Buildin $300 Addition to Commercial/Industrial Buildin $200 o <br /> Accessory Structure/Addition to Acc.Structure ✓ $150 Bunkhouse $250 i o <br /> Accessory Structure-Commercial CI &11) $200 Addition to Accessory Structure-Commercial Cl&Il) $200 <br /> Deck/StairsiPatios $125 Gazebo(WI Stat 59.692(lv)) $350 0 <br /> Camping Unit $100 Filling/Grading $150 <br /> r <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. <br /> *Communication Towers&Signs require a different application form,see corresponding application and fees. <br /> *ltems not listed above will be treated as accessory structures,such as:pergolas, landscaping,retaining it cells. <br /> Applicant Complete All Sections Below This Line <br /> Z <br /> Applicant's Name: X1(b wx t_5o^) G.-.)/CSO Al ° <br /> Applicant's Mailing Address:_ /4C57 o24n�1,9-'!-o ST A). Atf,6A)6 t /7/J. 5-510'0 <br /> City State Zip <br /> � z <br /> Applicant's Telephone Number: (lvS1) V33-14F13 0 <br /> // a <br /> Applicant's Email: Qr vr�Son 6S/ t�trc. ��nt 6 <br /> d <br /> d <br /> in <br /> If staff has a question about this application how do you prefer to be contacted? Check one below. c1 <br /> ❑LetterW 1 t <br /> ❑Phone [Email � <br /> Legal Description: o2-26 ASO A-) P-44k-/� 5' <br /> h <br /> Lot#: ( CSM Vol. l.Zi;_(o V C& 071161 OR ( t <br /> Lot#: Block#: Subdivision Name: OR <br /> Gov't Lot#: 01�OR 1/4 1/41 <br /> Section#: Town#: N Range#: 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): 0-)-o 14 -Z-37 •/S 35-S 09 Oo(e o(5-0500 <br /> X <br /> Tax ID#(1-5 digits): /O(Q ( z <br /> Property Site Address#: 2alcq� <br /> Road Name: _J=,HfjS0 -t R0,W City: <br /> TYPE OF PERMIT(S): Check appropriate box/boxes Fee Rec:LZ4U <br /> ❑ Single Family Dwelling ❑ Multi-Family Dwelling ❑ Filling/Grading ❑ Commercial Building <br /> ❑ Single Family Addition ❑✓Multi-Family Addition LlDeck/Patio ❑ Commercial Addition <br /> E3 Stairs Dr Acc. Structure(Non-bunkhouse) 13 Bunkhouse ❑ Commercial Acc. Structure z <br /> E3 Permit Extension ❑ Gazebo-W{II Stat 59.692(ly) L3 Camping Unit ❑ Commercial Acc.Addition C ��t <br /> Proposed Structure/Addition Use: J�)P y'V m n u e u <br /> (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) 4 <br /> Building Contractor: i/i�/L�vcvrrtSC� Ff//S, rr1 a2 s � 0 c <br /> O N —3 <br /> n Z o <br /> Anticipated Start Date: $=/5=�� m u u 11 <br /> Page 1 4 <br /> Burnett County,WI Land Use Application—Rev 1/200 16 <br /> m <br /> a <br /> M <br />