Laserfiche WebLink
LAND USE PERMIT APPLICATION- Burnett County, WI & r <br /> � c <br /> < b <br /> Applicant Complete All Sections Below This Line a" <br /> m <br /> Permit Types and Fees:(Check appropriate box/boxes) <br /> d <br /> Dwelling/Principal Building-Single Family $300Addition[o Dwelling/Principal Building-Single Family $200 <br /> DwellingTrincipal Building-Multi-Family $300 Addition to Dwelling/Principal Building-Multi-Family $200 p <br /> mmercial/Industrial Building $300 Addition to Commercial/Indtstrial Building $200 <br /> Accessory Structure(Non-Bunkhouse) $I50 Bunkhouse $250 <br /> Addition to Ace.Structure $150 Addition to Accessory Structure-Commercial(Cl &11) $200 <br /> Accessory Structure-Commercial(Cl &11) $200 Gazebo(W1 Stat 59.692(lv)) $350 r — <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk/Driveway& Filling/Grading $150 m <br /> Campground Screen Porches $125 Boathouse $500 <br /> m <br /> Camping Unit(Six Months/Year) $100 ,y <br /> m <br /> Permit Extension(Valid for one year-Only 1 Allowed) $100 S. <br /> ZUN <br /> *NOTE:After-the-fact(when no permit is obtained prior to construction)is up to three times the normal fee. ° <br /> *Communication Towers&Signs require a different application form,see corresponding application and fees. <br /> *Items not listed above will be treated as accepory structures, uch as:pergolas,landscaping,etc. <br /> Property Owner's Name: V v�d ✓) z <br /> O y � <br /> Property Owner's Mailing Address: ( IS• S <br /> City State Zip 9jo <br /> Property Site Address: Y1 <br /> Contact's Telephone Number: <br /> N 1 <br /> 0 <br /> Contact's Email: <br /> Legal Description of Property: L O <br /> Section#: Town#: N Range#:—Lb _W Town of: 06,1-1 UNCU c <br /> *Attach additionalpage if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* �V <br /> Tax ID#(1-5 digit number; found on tax s tement): � y I <br /> Proposed Use of StructurglAddition: ra —� <br /> e <br /> Anticipated Start Date: /'` (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) <br /> Building Contractor:74016[04r) ir �L1 Sewer Installer: z <br /> AREA BELOW THIS LINE RESERVED FOR ZONING STAFF COMMENTS/CONDITIONS ONLY <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS JASTED BELOW: <br /> --* 's D 3 ' wt I I Ao-F- cJ a <br /> �" --^^ Fee Rec:L��(V <br /> 3D ' w�. tt — oT— q <br /> F0 �o Gf 5 v.n a a 1,7V1,7VA layl <br /> C0 = <br /> M z <br /> Date of staff site visit. f 3 01-7 7 Initials of site visit staff. 13 <br /> 0 _ <br /> PERMIT APPROVED BY ZONING OFFICIAL: DATE: / 31 7 Z V <br /> Page 1 of 3 <br /> Burnett County, WI Land Use Application-Rev 10/2016 -7 <br />