Laserfiche WebLink
LAND USE PERMIT APPLICATION—Burnett County, WI b <br /> N' <br /> Permit Fees: <br /> Dwelling/Principal Building-Single Family $300 Addition to Dwelling/Principal Building-Single Family $200 O <br /> Dwelling/Principal Building-Multi-Family $300 Addition to r)wcllinWPrincipal Building-Multi-Famil $200 <br /> Commercial/Industrial Building $300 Addition to Commercial/Industrial Building $200 O <br /> Accessory Structure/Addition to Acc.Structure $150 Bunkhouse $250 g <br /> AccessoryStructure-Commercial Cl &11) $200 Addition to AccessoryStructure-Commercial Cl&Il $200 <br /> W <br /> Deck/Stairs/Patios $125 Gazebo(Wl Stat 59.692 lv $350 � 1 <br /> Camping Unit $100 Fillip Gradin $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. )So_ <br /> {� m <br /> *Communication Towers&Signs require a different application form,see corresponding application and fees. S ') - <br /> *ltems not listed above will be treated as accessory structures,such as:pergolas,landscaping, retaining walls. <br /> Applicant Complete All Sections Below This Line <br /> PP VII �t r�lt°J--f 0 <br /> Applicant's Name: � C � (� <br /> Applicant's Mailing Address: ��g �(2�i1 ie_ i 1 �Ti� �r _P)lCV 1S (k)T <br /> d� City State Zip ro <br /> Applicant's Telephone Number: <br /> Applicant's Email: 4X I f11rn I Y1 . Cori—) <br /> If staff has a question about this application how do you prefer to be contacted? Check one below. v i <br /> ❑Letter OPhone ❑Email o <br /> Legal Description: L z 14 C;M A 1&JA U i n PI1 I w1 C-,oj Lk-;T R Sec.i 14 C= erJ LCA <br /> Lot#: T CSM Vol. Pg. OR 5,et<,i' d <br /> 3. <br /> Lot#: Block#: Subdivision Name: OR s <br /> Gov't Lot#:- L4_OR 1/4 1/4 r L <br /> Section#: Town#:-40 N Range#: ILA W Town of: S Cc54 <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): C,7614b-1 q—J d—.&S U5--('O,�4—O I SCXX� <br /> Tax ID#(1-5 digits): 17 q 59 � <br /> Property Site Address#: <br /> Road Name: City:�J•-Or Cit'•_ m nl2 f �Jl g <br /> 1 � <br /> TYPE OF PERMIT(S): Check appropriate box/boxes Fee Rec. <br /> ElSingle Family Dwelling El Multi-Family Dwelling 13Filling/Grading 13Commercial Building �n <br /> Sax <br /> Single Family Addition El Multi-Family Addition 5k Deck/Patio ❑Commercial Addition cc,00 <br /> ❑Stairs ❑ Acc. Structure(Non-bunkhouse) ❑ Bunkhouse ❑Commercial Acc. Structure <br /> ❑ Permit Extension ❑ Gazebo—W=Parc+., <br /> Camping Unit ❑Commercial Acc.Addition <br /> c: C <br /> ycProposed Structure/Addition Use: � <br /> 1 <br /> n (Home ;Commercra! usiness;Bedroom;Deck;etc) Z C <br /> Building Contractor:} <br /> t� <br /> Anticipated Start Date: �' f ' ( 0 0 <br /> Page 1 of 4Z En <br /> Burnett County,WI Land Use Application—Rev 4/2015 Z <br />