Laserfiche WebLink
LAND USE PERMIT APPLICATION -Burnett County, WI a d <br /> - b <br /> Permit Fees: o <br /> Dwelling/Principal Building-Single Family $300 Addition to DwellingfPrincipal Building-Single Family $200 C7 <br /> Dwelling/Principal Building-Multi-Family $300 Addition to DwellingtPrincipal Building-Multi-Family $200 m <br /> Commercial/Industrial Building $300 Addition to Commercial/Industrial Building $200 0 <br /> Accessory Structure(Non-Bunkhouse) F <br /> Addition to Acc.Structure $150 Bunkhouse $250 I <br /> Accessory Structure-Commercial Cl &II $200 Addition to Accessory Structure-Commercial Cl &Il $200 <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk/Driveway& 1 <br /> Screen orches-in campgrounds only) $125 Gazebo WI Stat 59.692 lv $350 r <br /> Camping Unit $100 Filling/Grading $150 °^ <br /> Permit Extension Valid for one year-Only 1 Allowed) $100 Boathouse $500 <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. a <br /> */terns not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. <br /> Applicant Complete All Sections Below This Line fo <br /> Applicant's Name: �Q V Q( mLi <br /> Applicant's Mailing Address: tS�tLN �yt,f"'1LCd jut IUdu p Mtm-y 550- 37 <br /> 37 <br /> city State zip <br /> LN <br /> < <br /> `` o H <br /> Applicant's Telephone Number: �� 24p — g j LfD <br /> a <br /> Applicant's Email• . <br /> o <br /> If staff has a question about this application how do you prefer to be contacted? Check one below. N w \ t <br /> ❑Letter [–]Phone 2Email ? 9'd,// / <br /> Legal Descriptionk10 3c / 3 / 3/ /I <br /> Lot#: CSM Vol. Pg. OR a, <br /> Lot#: Block#: Subdivision Name: OR �_ o <br /> Se <br /> Gov't Lot#: OR 1/4 1/4 ( "� <br /> Section#: 34_Town#: �N Range#:�_W Town of: /�'�p p at�t-t, �y <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* (AJ r J <br /> Parcel#(24 digits): X <br /> n_ z <br /> Tax ID#(1-5 digits): <br /> Property Site Address: -0 V l t, t� S(h/ by �.1 V- , � <br /> s <br /> TYP OF PERMIT(S): Check appropriate box/boxes Fee Recce•Oo <br /> ngle Family Dwelling ❑ Multi-Family Dwelling ❑ Filling/Grading ❑ Commercial Building <br /> ❑ Single Family Addition ❑ Multi-Family Addition ❑ Deck/Patio ❑ Commercial Addition <br /> ❑ Stairs ❑ Acc. Structure(Non-bunkhouse) ❑ Bunkhouse ❑ Commercial Acc. Structure <br /> ❑ Permit Extension ❑ Gazebo–WI Stat 59.692(ly) ❑Camping Unit ❑ Commercial Acc.Addition C <br /> ❑ Boathouse ❑ Screen porch–campgrounds only E3 Retaining Wall Sidewalk/Driveway �J <br /> D <br /> Proposed Structure/Addition Use: O 1►vQ, c <br /> (Home Cabin;Commercial Business;Bedroom;Deck;etc.) O <br /> rn G7 <br /> � Z <br /> Building Contractor: / , Master Plumber: 2 O o C <br /> Anticipated Start Date: Z o-, <br /> Page 1 4 <br /> Burnett County, WI Land Use Application—Rev 3/200 16 �_� <br />