Laserfiche WebLink
LAND USE PERMIT APPLICATION—Burnett County WI <br /> Applicant Complete All Sections Below This Line o' v <br /> ' <br /> Permit Types and Fees:(Check appropriate box/boxes) a� � <br /> Ra <br /> Dwelling/Principal Building-Single Family $300 Addition to Dwelling/Principal Building-Single Family $200 <br /> DwellingTrincipal Building-Multi-Family $300 Structural Alteration to Dwelling/Principal Buildings $200 v <br /> Commercial/Industrial Building $300 Addition to Commercial/Industrial Building $200 <br /> Accessory Structure(Non-Bunkhouse) $150 jAddition to Accessory Structure $150 <br /> 0 l <br /> Bunkhouse $250 Structural Alteration to Accessory Structure $150 <_ <br /> Accessory Structure-Commercial(Cl &11) $200 1 jAddition to Accessory Structure-Commercial(Cl &11) $200 <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk/Driveway& Gazebo(WI Stat 59.692(lv)) $350 y <br /> Campground Structures $125 Filling/Grading $150 <br /> Camping Unit(Six Months Per Year) $100 Boathouse $500 <br /> Permit Extension(Valid for one year-Only 1 Allowed) $100 S, a <br /> *NOTE:After-the-fact(when no permit is obtained prior to construction)is up to three times the normal fee. <br /> 02 <br /> *Communication Towers&Signs require a different application form,see corresponding application and fees. o <br /> *Items not listed above will be treated as accessory structures,such as:pergoJas,landscaping,etc. <br /> w n <br /> Property Owner's Name: [Y\Q A it-CI AV i-/GL i� � W � <br /> Property Owner's Mailing Address: ML i I I/' /n 15-2-Z Ll v <br /> City State Zip d <br /> Property Site Address: 5 2A 5 0 C(k E f`G(. G y.�- <br /> Contact's Telephone Number: (c/2 71 I I S <br /> b <br /> j 5' <br /> Contact's Email: rn 11 G' I{ma41 6 1)c-,n ei-ale-t, l?el-t d <br /> y <br /> Legal Description of Property: Ea SI C( W Y2 N(.1"I'l, C-ee. 1-1 1142(11))1 Bf Lakllk l e g <br /> n 1 <br /> Section#: 1 -7_Town#: N Range#: W Town oG_ <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page. <br /> Tax ID#(1-5 digit number;found on tax statement): <br /> Proposed Use of Structure/Addition: nu f( Act i-I <br /> Anticipated Start Date: hi Cj 5 t 2�' � / (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) <br /> Building Contractor: ([ij )I ((-)I S-ti(L C 71C t l Sewer Installer: 11 1"L, N z <br /> m <br /> AREA BELOW THIS LINE RESERVED FOR ZONING STAFF COMMENTS/CONDITIONS ONLY <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> Fee Rec: 0 Oa <br /> 5 <br /> m <br /> z <br /> q <br /> C <br /> Date of staff site visit: itials f sit v' ' staff: Olt � <br /> o <br /> z <br /> PERMIT APPROVED BY ZONING OFFICIAL: DATE: 7�j- IO—1 <br /> --il <br /> Z C <br /> Page 1 of 3 <br /> 6O <br /> Burnett County,WI Land Use Application—Rev 03/2017 2 �' (� <br />