Laserfiche WebLink
LAND USE PERMIT APPLICATION — Burnett County, WI a b <br /> N v <br /> Permit Fees: a <br /> c <br /> Dwell in /Princi al Building-Single Family $300 Addition to Dwellin /Princi al Building-Single Family $200 O <br /> Dwell in /Princi al Building-Multi-Famil $300 Addition to Dwelling/Principal Building-Multi-Famil $200 V <br /> Commercial/Industrial Building $300 Addition to Commercial/Industrial Building $200 <br /> Accessory Structure/Addition to Ace.Structure $150 Accessory Structure or Bunkhouse $250 I <br /> Accessory Structure-Commercial(CI &II) $200 Addition to Accessory Structure-Commercial(CI &11) $200 p <br /> Deck/Stairs/Patios $125 Gazebo(Wl Stat 59.692(ly)) $350 <br /> '1 < <br /> Cam in Unit $100 Filling/Grading $150 Pl <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. n <br /> *Communication Towers&Signs require a different application form, see corresponding application and fees. '• > <br /> */terns not listed above will be treated as accessory structures,such as:pergolas, landscaping, retaining walls, <br /> v <br /> L Applicant Complete All Sections Below This Line r- <br /> /N h ` z <br /> Applicant's Name: D It 1 �`.r, (� /� 0 f <br /> Applicant's Mailing Address: -7171 yV t(�Yf Q()(wi l I kl hp o kS �N X50 14 <br /> �Cjit/yl Q i( State Zip <br /> Applicant's Telephone Number. <br /> j <br /> Applicant's Email: I I <br /> rt <br /> If staff has a question about this application how do you prefer to be contacted? Check one below. <br /> �jJ <br /> ❑Letter ❑Phone Email o r <br /> Legal Description: fteasa�+ AcIlreS L-o� (P <br /> Lot#: CSM Vol. Pg. OR <br /> Lot#: Block It: Subdivision Name: OR a i <br /> Gov't Lot#: OR 1/4 1/4 L <br /> Section#:S-30__Town#:7•C PJ N Range#: Y�/K J W Town of: EWSS a <br /> *Attach additional page if neededIor lengthy description OR attach a copy of the deed OR attach tax system propertypage. Ln <br /> Parcel#(24 digits): ,]�"d "t — . 30 �5� �f —b y'/V(J� a <br /> fn <br /> ((�] fn <br /> Tax ID#(1-5 digits): oZ7)�-! _-, � a 00 <br /> Property Site Address#: <br /> A r ( Cl D <br /> Road Name: riwh� fTC�{S ��QII 1 .� a C JG{mrx City: ( <br /> 6 <br /> F �( <br /> TYPE OF PERMIT(S): Check appropriate box/boxes Fee Rec 37� <br /> ❑ Single Family Dwelling ❑ Multi-Family Dwelling ❑ Filling/Grading ❑ Commercial Building . <br /> ❑ Single Family Addition ❑ Multi-Family Addition ❑ Deck/Patio ❑ Commercial Addition y <br /> m <br /> (Stairs LJ Acc. Structure(Non-bunkhouse) LJ Bunkhouse LJ Commercial Acc. Structure N <br /> ElPermit Extension LlGazebo-WI Stat 59.692(ly) LJCamping Unit LlCommercial Acc. Addition z <br /> z <br /> Proposed Structure/Addition Use: <br /> (Home/Cabin:Commercial Bmuness:Bedroom;Deck:etc) m <br /> Building Contractor: biJi�P+( <br /> Anticipated Start Date: <br /> Page 1 of 4 <br /> Burnett County,WI Land Use Application—Rev 3/2015 <br />