Laserfiche WebLink
LAND USE PERMIT APPLICATION- Burnett County, WI a _ b <br /> , <br /> �. <br /> Permit Fees: <br /> a <br /> Dwelling/Principal Building-Sin le Family $300 Addition to Dwelling/Principal Building-Sin le Family $200 C7 <br /> Dwellin rind al Building-Multi-Family $300 Addition to Dwellin Princi al Building-Multi-Family $200 <br /> CommerciaUtndustrial Building $300 Addition to CommerciaUlndustrial Building $200 <br /> Accessory Structure/Addition to Ace.Structure $150 Bunkhouse $250 <br /> Accessory Structure-Commercial Cl &11) $200 Addition to Accessory Structure-Commercial(Cl &Il $200 <br /> Deck/Stairs/Patios $125 Gazebo WI Stat 59.692(l v)) $350 o <br /> Camping Unit $100 Filling/Grading F$150 »" <br /> Permit Extension Valid for one year-Only I Allowed) $100 S <br /> *NOTE:After-the-fact(when no permit is obtained prior to construction)is three times the normal tee. v <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. + �� <br /> -o <br /> Applicant Complete All Sections Below This Line <br /> 0 <br /> Applicant's Name: A`7 �W <br /> 1 ��) <br /> Applicant's Mailing Address: k I/V 1Z c 901, S51- �j1p <br /> �,._f GdTT &17 4 /1);kI <br /> City State zip b <br /> �Z <br /> Applicant's Telephone Number: 7157-.263. <br /> Applicant's Email: %L Ad etc id A ,C-49r <br /> If staff has a question about this application how do you prefer to be contacted? Check one below. 1 <br /> ❑Letter MPhone ❑Email o 1 <br /> Legal <br /> Description:/oTT/ / TS � iNEGSe- <br /> Lot#: <br /> CSM Vol./S'4 of Pg. 7 OR <br /> Lot#: Block#: Subdivision Name: ORL <br /> v, <br /> Gov't Lot#: OR' N iE 1/4 AIAF 1/4 o 1 <br /> Section#: Town#: _N Range#:_J,�- _W Town of: <br /> 1 � <br /> *Attach additional a e i needed or lengthy description OR attach a co of the deed OR attach tax system ro er a e.* I <br /> Pg .r j g Y P PYY P P tYPg <br /> Parcel#(24 digits): S% <br /> Tax ID#(1-5 digits): <br /> y � <br /> Property Site Address#:..2 7 6 9 7 7- D y <br /> Road Name: ( _5' x DR City: WP b Is Te/Q I <br /> TYPE OF PERMIT(S): Check appropriate box/boxes Fee Rec: 00_• <br /> ❑ Single 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 N v <br /> ❑ Permit Extension ❑ Gazebo-WI Stat 59.692(ly) Camping Unit ❑ Commercial Acc. Addition z C <br /> n Z <br /> Proposed Structure/Addition Use: Z D <br /> (Home/Cabin:Commercial Business:Bedroom;Deck:etc.) <br /> 000✓✓✓ l-0 rU u�u <br /> Building Contractor: t7 tto c� <br /> Anticipated Start Date: Q 1 o <br /> 1 a <br /> Page 1 of 4 I; <br /> Burnett County,WI Land Use Application—Rev 1/2016 > C� <br /> x <br /> m <br /> A <br /> m <br />