Laserfiche WebLink
LAND USE PERMIT APPLICATION— Burnett County, WI a <br /> Permit Fees: <br /> Dwelling/Principal Building-Single Family 5300 Addition to Dwelling/Principal Budding-Single Family $200 n <br /> Dwelling/Principal Building-Multi-Family $300 Addition to Dwellin Princi al Building-Multi-Family S200 <br /> Commercial/Industrial Building 5300 Addition to Commercial/Industrial Building $200 v n 1 <br /> Accessory Structure/Addition to Ace.Strucuue $150 Bunkhouse $250 I� <br /> Accessory Structure-Commercial Cl&II $200 Addition to Accessory Structure-Commercial Cl&Il $200 <br /> Deck/Stairs/Patios $125 1 Gazebo WI Stat 59.692 Iv $350 0 <br /> Camping Unit $100 Filling/Grading $150 * �+ <br /> Permit Extension Valid for one year-Only 1 Allowed $loo ° I C7 <br /> *NOTE:After-the-fact(when no permit is obtained prior to construction)is three times the normal fee. <br /> �» <br /> *Communication Towers&Signs require a&fferent application form,.see corresponding application and fees. <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,retaining walls. e <br /> t <br /> Applicant Complete All Sections Below This Line . <br /> T � <br /> Applicant's Name: ZT'c H EL L A p 01-W IV o <br /> Applicant's MailingAddress: 3q9 S--jEmm; <br /> // / City State Zip h <br /> Applicant's Telephone Number: Old S(o to ` 06-/y <br /> F P 0 <br /> Applicant's Email: Mgt)rfSc�n 77 @ 1/GhAX), Copra o I t <br /> If staff has a question about this application how do you prefer to be contacted? Check one below. <br /> QLetter Whone QEmail io <br /> ao <br /> I <br /> Legal Description: ' <br /> Lot#: CSM Vol. Pg OR y7 <br /> Lot#: Block <br /> er#: Subdivision Name:_ OR a i <br /> Gov't Lot#: OR /V 67- 1/4 1/4 I� J <br /> 1 G O <br /> Section#: 10 Town#:39N Range 4: - W Town of: UAAU6'1_ n <br /> *Attach additional page if neededfor lengthy description OR attach a copy of the deed OR attach tax system propertypage. <br /> Parcel#(24 digits): 01 -006 -J`'„3© 11 -10-1 01-" -011000 <br /> Tax ID#(1-5 digits): M1} <br /> Property Site Address#: q — <br /> Road Name: .St vemsen1 p City: <br /> TYPE OF PERMIT(S):Check appropriate box/boxes Fee Rcc:3SQ <br /> ❑ Single Family Dwelling ❑ Multi-Family Dwelling ❑ Filling/Grading ❑ Commercial Building x <br /> Single Family Addition ❑ Multi-Family Addition ❑ Deck/Pabo ❑ Commercial Addition <br /> o <br /> ❑ Stairs Acc. Structure(Non-bunkhouse) ❑ Bunkhouse L3 Commercial Acc. Structure N ""- <br /> ❑ Permit Bdension ❑ Gazebo-WI Stat 59.692(iv) ❑Camping Unit ❑ Commercial Acc.AdditionC) <br /> z <br /> Proposed Structure/Addition Use: <br /> (11ome/Cabin;Commercial Business;Bedroom;Deck,etc) <br /> C <br /> p Z <br /> Building Contractor: P`TE't (sift/E7t1YRY K �� <br /> Anticipated Start Date: <br /> Page 1 of 4 0 <br /> Burnett County,WI Land Use Application—Rev 4/2015 4 <br />