Laserfiche WebLink
LAND USE PERMIT APPLICATION — Burnett County WI g � b <br /> y H <br /> Permit Fees 4. <br /> Dwellin cipal Building-Single Famil $300 Addition to Dwelling/Principal Building-Single Family $200 a <br /> Dwelling/Principal Building-Multi-Family $300 Addition to Dwelli rinci al Building-Multi-Famil $200 <br /> Commercial/Industrial Building $300 Addition to CommerciaWndustrial Building $200 <br /> UI <br /> AccessoryStructure/Addition to Ace.Structure $150 Bunkhouse $250 y 1 <br /> Accessory Structure-Commercial Cl&Il $200 Addition to Accessory Structure-Commercial Cl&11 $200 — <br /> Deck/Stairs/Patios $125 Gazebo Stat 59.692 lv $350 C <br /> Camping Unit $100 Filling/Grading $150 �• 3 <br /> Permit Extension Valid for one yew-Only I Allowed $100 or <br /> *NOTE:After-the-fact(when no permit is obtained prior to construction)is three times the normal Cee. <br /> *Communication Towers&Signs require a different application form,see corresponding application and fees. R -� <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,retaining walls. <br /> ' ro <br /> 'L/ Applicant Complete All Sections Below This Line c . <br /> Applicant's Name: L I i m I � o <br /> Applicant's Mailing Address: j q y 1GTr e s� RIIW O+k( MAI 65709 <br /> city State Zip <br /> (oSl - F�s - ogro <br /> Applicant's Telephone Number: 4 4s o � � <br /> _ c � <br /> Applicant's Email: Ki ^�v'`c��,t (n�Uaj-,0J, C0 �^ g <br /> d 5u <br /> A <br /> If staff has a question about this application how do you prefer to be contacted? Check one below. <br /> ❑Letter RIPhone ❑Email <br /> Legal Description: (pt 1 Ci- FoAt,r_ Pa y e5 <br /> ao <br /> Lot#: CSM Vol. Pg. OR^ Q <br /> Lot#: _Block#: Subdivision Name: KR1 Ash h I VC✓ V,✓\CS OR l <br /> Gov't Lot#: OR 1/4 1/4 y 1 <br /> Section#:_�1 Town#:_qQ_N Range#:_i _W Town of. oak l0.✓ A 1 <br /> *Attach additional e i needed or lengthy description OR attach a co o the deed OR attach tax <br /> page.r f %t Y P PY .f system property page. <br /> Parcel#(24 digits): -7- oZO ' 2' �o ' I6 -n� 'S ►S�SSo^�(p7��'C' (� <br /> Tax ID#(1-5 digits): , q 2 5 n z <br /> Property Site Address#: <br /> Road Name: ye-now City: 0c W0,*.b +W <br /> TYPE OF PERMIT(S): Check appropriate box/boxes Fee Rec: l SCI+vV <br /> L3 Single Family Dwelling L3 Multi-Family Dwelling ❑ Filling/Grading ❑ Commercial Building <br /> ❑ Single Family Addition ❑ Multi-Family Addition ❑ Deck/Patio ❑ Commercial Addition N <br /> 0 <br /> ❑ Stairs )iC Acc. Structure(Non-bunkhouse) ❑ Bunkhouse ❑Commercial Acc. Structure N <br /> ❑ Permit Extension ❑ Gazebo-WI Stat 59.692(ly) ❑ Camping Unit ❑Commercial Acc.Addition <br /> Proposed Structure/Addition Use: J fI Q e <br /> I A (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) -� <br /> Building Contractor: n f IJ <br /> i r <br /> Anticipated Start Date: I��I <br /> N <br /> Page 1 of 4 g <br /> Burnett County, WI Land Use Application—Rev 4/2015 <br /> in <br />