Laserfiche WebLink
- LAND USE PERMIT APPLICATION - Burnett County, WI g 1 c <br /> � ►b <br /> Permit Fees: a <br /> Dwelling/Principal Building-Single Family $300 Addition to Dwelling/Principal Building-Single Family S200 t�n <br /> Dwelling/Principal Building-Multi-Family $300 Addition to Dwelling/Principal Build' -Multi-Family $200 <br /> Commercial/industrial Building5300 Addition to Commercial/Industrial Building $200 c <br /> Accessory Structure/Addition to Acc.Structure JW Bunkhouse $250 <br /> Accessory Structure-Commercial C1&Il $200 Addition to Accessory Structure-Commercial(Cl&II $200 <br /> t <br /> Deck/Stairs/Patios $125 1 Gazebo I Stat 59.692 Iv $350 <br /> Camping Unit $100 Filling/Grading $150 ' <br /> Permit Extension Valid for one yew-Only 1 Allowed $100 - <br /> *NOTE:After-the-fact(when no permit is obtained prior to construction)is three times the normal fee. rn _, <br /> *Communication Towers&Signs require a different application form,see corresponding application and fees. <br /> *Items not listed above will be treated as accessory structures,such as:pergolas, landscaping,retaining walls. <br /> 'o <br /> Applicant Complete All Sections Below This Line S <br /> 0 <br /> Applicant's Name: ,3r.6 .USW, <br /> Applicant's Mailing Address: 7y1� a�D�l. SdrCr�-(.t��s.� Araut*r�iK./��/S3oZL( <br /> City 'State Zip k <br /> Applicant's Telephone Number: V(510 o_ N <br /> Applicant's Email: bCn itj@ Rb�• (I vw� d <br /> If staff has a question about this application how do you prefer to be contacted? Check one below. <br /> ❑Letter []Phone ®Email Sr..H2-�peeo�3�✓��"'� �"' c 40 <br /> Legal Description: nxG�3C. 'T'ail( if/ R /G W <br /> Lot#: ( CSM Vol. 't a C14 OR at <br /> Lot#: Block#: -- Subdivision Name: OR = <br /> Govt OR_5 V�1/4 S16- 1/4 <br /> Section 34 Town#:�N Range#:___ff� _W Town of: 3wjS5 } <br /> *Attach additional page ifneededfor lengthy description OR attach a copy of the deed OR attach tax systemproperty pag .* y <br /> a <br /> Parcel#(24 digits): 3aZ" " DY" qj 0 <br /> Tax ID#(1-5 digits): z <br /> Property Site Address#: 43roj <br /> Road Name: �.,d fu LA"— City: <br /> TYPE OF PERMIT(S): Check appropriate box/boxes Fee Recar cc' <br /> ❑ Single Family Dwelling ❑ Multi-Family Dwelling ❑ Filling/Grading ❑ Commercial Building 4 <br /> ❑ Single Family Addition O-I tti-Family Addition 06eeck/Patio 13 Commercial Addition e <br /> ❑ Stairs ❑ Aa. Structure(Non-bunkhouse) ❑ Bunkhouse ❑ Commercial Acc. Structure <br /> ❑ Permit Extension ❑ Gazebo-WI Stat 59.692(iv) O Camping Unit ❑ Commercial Aa.Addition <br /> Proposed Structure/Addition Use: e641, ��(� � P,,,�, m � <br /> (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) co <br /> Building Contractor:_ <br /> / _N <br /> Anticipated Start Date: �($� p on <br /> Page 1 of 4 �1!" <br /> Burnett County,WI Land Use Application—Rev 1/2016 <br /> 0 <br />