Laserfiche WebLink
LAND USE PERMIT APPLICATION—Burnett County, WI g b <br /> y i <br /> Applicant Complete All Sections Below This Line 0 <br /> Permit Types and Fees:(Check appropriate box/boxes) ° <br /> Dwelling/Principal Building-Single Family 531111 Addition to Duelling/Principal Building-Single Family $200 <br /> Dttelling/Principal Building-Multi-Family $300 Structural Alteration to Dwelling/Principal Buildings $200 O <br /> CommerciaUfndustrial Building $300 Addition to Commercial/Industrial Building $200 <br /> Accessory Structure(Non-Bunkhouse) $150 Addition to Accessory Structure $150 <br /> Bunkhouse $250 uructural Alteration to Accessory Structure $150 <br /> Accessory Structure-Commercial(Cl&Il) $200 Addition to Accessory Structure-Commercial(Cl&Il) $200 S <br /> Deck/Stairs/Patio/Retaining WalUSidewalk/Driveway& Gazebo(WI Stat 59.692(1 v)) $350 <br /> Campground Structures $125 Filling/Grading $150 • <br /> Camping Unit(Six Months Per Year) $100 Boathouse $500 <br /> .ti <br /> m <br /> Permit Extension(Valid for one year-Only I Allowed)ISI00 r. <br /> 0 <br /> Z <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 /> 0 <br /> 'Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc, o <br /> Property Owner's Name: 6 oe <br /> hr 7H 0kx�� ' z <br /> Property Owner's Mailing Address: JfW T7-8 <br /> !r°t/ �J d� a <br /> ��' C�i�'/ / �cct�j Zip d <br /> Property Site Address:Z-99 77-/3 /4 / �`��` /!- .—� /YrC* <br /> Contact's Telephone Number: 6/ Z — 2 "770 —ai/06 <br /> Contact's Email: Q/S'ol��sf.�0 �, C os�tc h ed— <br /> Legal <br /> —Legal Description of Property: La-1 7 Z ff/r viralt�� GI✓� o d� e, g' <br /> Section#: ,2 Town#: 4 N Range#: �S W Town of: � /� 1 <br /> o I <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page. <br /> Tax ID#(1-5 digit number;found on tax statement): <br /> Proposed Use of Structure/Addition: �4,eW6n6- Wa L C R"'y r i <br /> Anticipated Start Date: i (Kora Cabin;Commercial Business,,Bedr, m,Deck;etc) <br /> am <br /> Building Contractor: .0 .3-r 6 J L LG Sewer Installer: z <br /> z <br /> AREA BELOW THIS LINE RESERVED F ZONING STAFF COMMENTS/CONDITIONS ONLY <br /> THIS PERMIT IS SUBJECT T1 O ALL CONDITIONS LISTED BELOW: U1 <br /> tN o hf�r IQ�U� c'Y��s ��awer9 <br /> V Fee Rec:Lczo <br /> y <br /> N <br /> 8 <br /> tt1 <br /> N Q <br /> - s - 17 <br /> Date of staff site visit: I itials of site visit staff: ">) <br /> PERMIT APPROVED BY ZONING OFFICIAL: DATE: c. " <br /> N <br /> V <br /> Page 1 of3 <br /> Burnett County, WI Land Use Application—Rev 03/2/2017 <br /> m <br /> m <br />