Laserfiche WebLink
LAND USE PERMIT APPLICATION—Burnett County, WI <br /> Permit Fees- <br /> Dwelling/Principal <br /> ees:Dwellin rind al Builth -Single Family $300 Addition to Dwelling/Principal Building-Single Family $200 C7 <br /> Dwelling/Principal Building-Multi-Family $300 Addition to Dwelling/Principal Building-Multi-Family $200 <br /> Commercial/industrial Building, $300 Addition to Commercial/Industrial Building $200 <br /> Accessory Structure/Addition to Acc.Structure 5150 Bunkhouse $250 <br /> Accessory Structure-Commercial Cl&II $200 Addition to Accessory Structure-Commercial(Cl&Il $200 X/ <br /> Deck/Stairs/Patios $125 Gazebo 'I Stat 59.692 1 v $350 c <br /> Camping Unit $100 Filling/Grading $150 <br /> Permit Extension Valid for one year-Only I Allowed $100 a <br /> *NOTE:After-the-fact(when no permit is obtained prior to construction)is three times the normal fee. <br /> *Communication Towers&Signs require a different application form,see corresponding application and fees. <br /> *Items not listed above will be treated as accessory structures,such as:pergolas, landscaping,retaining walls. I <br /> 'n <br /> o <br /> Applicant's Name: II.AR Ed L1<� 1 17 v^A/6 CTo4rr <br /> L <br /> Applicant's Mailing Address: ),07-5 C iQasE 4 VB .-T. 1i 9&,4 As/AJ 5---10 6 <br /> City State Zip r) <br /> � z <br /> Applicant's Telephone Number; <br /> m <br /> a <br /> Applicant's Email: KK/d K 77 DF ca A4 Oye7- d <br /> If staff has a question about this application how doyou fer to be contacted? Check one below. <br /> []Letter hone 29mail N w <br /> 0 <br /> Legal Description: SSE ,gjjj��lfEd e /L/�7�0�✓ <br /> Lot#: CSM Vol. Pg. OR b <br /> Lot#: Block#: Subdivision Name: OR <br /> Gov't Lot#: OR 1/4 1/4 <br /> Section#: Town#: N Range#: W Town of: <br /> *Attach additional page if neededfor lengthy description OR attach a copy of the deed OR attach tax system property page.* s <br /> Parcel#(24 digits): 71J <br /> n <br /> Tax 1D#(1-5 digits): Z� � <br /> Property Sitedress#: <br /> Road Name: �J Ap City: <br /> TYPE OF PERMIT(S): Check appropriate box/boxes Pee Reel ZLS7,On <br /> ❑Single Family Dwelling ❑ Mufti-Family Dwelling ng/Grading ❑Commercial Building <br /> ElSingle Family Addition ❑ Multi-Family Addition U Deck/Patio ❑Commercial Addition <br /> ❑ Stairs ❑ Acc. Structure(Non-bunkhouse) ❑ Bunkhouse ❑Commercial Acc. Structure <br /> ❑ Permit Extension ❑ Gazebo-WI Stat 59.692(iv) ❑Camping Unit ❑Commercial Acc. Addition <br /> tXAGT t <br /> Proposed Structure/Addition Use: L'AB�.✓J�EG�' RE�L/aL6.ryFwyT <br /> (Home/Cabm,Commercial Business;Bedroom:Deck:etc.) P <br /> Building Contractor: ...r'a0,F 1FLk- -AW)6z) —6- 0-,aVTZKVC- ll� <br /> Anticipated Start Date: 9/-/s- 1 <br /> Page 1 of 4 <br /> Burnett County,WI Land Use Application-Rev 4/2015 r _ <br />