Laserfiche WebLink
LAND USE PERMIT APPLICATION —Burnett County, WI a b <br /> Applicant Complete All Sections Below This Line <br /> Permit Types and Fees:(Check appropriate box/boxes) e v <br /> Dwelling/Principal Building-Single Family $300 1 Addition to Dwelling/Principal Building-Single Family $200 m <br /> Dwelling/Principal Building-Multi-Family $300 Structural Alteration to Dwelling/Principal Buildings $200 <br /> Commercial/Industrial Building $300 Addition to Commerciallindustrial Building $200 , <br /> ,XlAccessory Structure(Non-Bunkhouse) $150 Addition to Accessory Structure $150 ` <br /> Bunkhouse $250 Structural Alteration to Accessory Structure $150 <br /> °e <br /> Accessory Structure-Commercial(Cl&Il) $200 Addition to Accessory Structure-Commercial(Cl &11) $200 0 <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk/Driveway& Gazebo(WI Stat 59.692(lv)) $350 rn <br /> Campground Structures ''— <br /> pgr $125 FillingCaading SI50 <br /> Camping Unit(Six Months Per Year) $100 Boathouse $500 <br /> ro <br /> Permit Extension(Valid for one year-Only I Allowed) $100 0 <br /> z <br /> *NOTE:After-the-fact(when no permit is obtained prior to construction)is up to three limes the normal fee. ° <br /> *Communication Towers&Signs require a di Brent a hcation_orm,see corresponding application and.lees.gn 9 � PP % P g PP .7 <br /> *Items not listed above will be treated as accessorystructures,such as: er olas,landscaping,etc. <br /> Property Owner's Name: ��02yr n a/�,�1 t' �Ou ��' L i✓I :, �j'y S <br /> II// z <br /> Property Owner's Mailing Address: 3112 �� tf�.rf -� �J� �l0:7tt0 a <br /> /� City State Zip o <br /> Property Site Address: PQ. !/-) l -5-YH3 <br /> Contact's Telephone Number: <br /> Contact's Email: -')7 > ,D, 41 /. CO A"i <br /> C7 I <br /> Legal Description of Property: Lo / 'SM{t 2Z7� ✓l P/3? -A 2 700(03 5. <br /> � 1 <br /> Section#:_�Town#: N Range#:�r W Town of: cs( >Co/% } <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* 1 <br /> Tax ID#(1-5 digit number;found on tax statement): 23 l -1 <br /> Proposed Use of Structure/Addition: qet ) 1 <br /> ;y <br /> Anticipated Start Date: S- /- 2 0'/ 7 I(Home/Cabin;Commercial Business;Bedroom;Deck;etc.) <br /> Building Contractor:44V;-1�'-•R%, = % l Sewer Installer: — y z <br /> y <br /> AREA BELOW THIS LINE RESERVED FOR ZONING STAFF COMMENTS/CONDITIONS ONLY <br /> //THrISrPPERMIT IS SUBJECT TO ALL CONDITION'S LISTED BELOW: <br /> (ACTTI V 1 7 b f J .— "»r �c�e a -I :s I Vl 1�� ,{�FeeRec: � f(.Cl <br /> 1 y <br /> t m <br /> m <br /> N <br /> O <br /> Z <br /> Z ^ Q <br /> - S I � <br /> Date of staff site visit: initials of site visit staff. < a <br /> Z <br /> PERMIT APPROVED BY ZONING OFFICIAL DATE: <br /> i <br /> p w k� <br /> Page 1 of 3 o C <br /> Burnett County,WI Land Use Application—Rev 03/2017 <br /> ro S�i <br /> Fran <br />