Laserfiche WebLink
LAND USE PERMIT APPLICATION — Burnett County, WI _ b <br /> m �.r <br /> Permit Fees: 5 o <br /> DwellingfPrincipal Building-Single Family $300 Addition to Dwelling/Principal Building-Single Family $200 <br /> Dwelling/Principal Building-Multi-Famil $300 Addition to Dwelling/Principal Building-Multi-Famil $200 m <br /> Commercial/Industrial Building $300 Addition to Commercial/Industrial Building $200 <br /> Accessory Structure(Non-Bunkhouse) F <br /> Addition to Ace.Structure $150 Bunkhouse $250 t <br /> Accessory Structure-Commercial Cl &U) $200 1 Addition to Accessory Structure-Commercial(Cl &11) $200 <br /> o I <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk/Driveway& < <br /> (Screen orches-in campgrounds only) $125 Gazebo WI Stat 59.692(l v) $350 r, <br /> Cam in Unit $100 Filling/Grading $150 <br /> Permit Extension Valid for one year-Only 1 Allowed) $100 Boathouse $500 w <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. v <br /> *Items not listed above will be treated as accessory structures,such as.pergolas, landscaping, etc. r <br /> o � � <br /> Applicant Complete All Sections Below This Line o <br /> Applicant's Name: SZ or\\�(^ <br /> Applicant's Mailing Address: t9 � ' 1� i _s, iz�C�-Js t='� NX 1V rs�q o <br /> City State Zip c # <br /> Applicant's Telephone Number: (0 t2 -ASO —6:%esXj <br /> a <br /> 7 <br /> d <br /> Applicant's Email: �r cI <br /> t <br /> If staff has a question about this application h w do you prefer tPbe contacte ? Check one below. y <br /> ❑LetterPhone [:]Email 0 1 t <br /> Legal Description: 4 <br /> Lot#: CSM Vol. Pg. OR <br /> Lot#: Block#: Subdivision Name: OR SLl <br /> Gov't Lot#: OR 1/4 1/4 <br /> Section#: Town#: N Range#: W Town of: <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page. <br /> Parcel#(24 digits):p -c tf'A-Z-3�1 -l fes- LS-5 0�,- O O sGc C� 7 <br /> n z _ <br /> Tax ID#(1-5 digits): L L CA CMZ <br /> y <br /> Property Site Address: <br /> s <br /> TYPE OF PERMIT(S): Check appropriate box/boxes Fee Rec:�Op_ <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 <br /> ❑ Permit Extension ❑ Gazebo—WI Stat 59.692(ly) ❑ Camping Unit ❑ Commercial Acc. Addition <br /> ❑ Boathouse ❑ Screen porch—campgrounds only ❑ Retaining Wall ❑ Sidewalk/Driveway <br /> Proposed Structure/Addition Use: C " <br /> IH Ca n;Commercial Business;Bedroom;Deck;etc.) r_ N Mr 0 <br /> Building Contractor:Lc34xY\- 6 4 5" Z%ster Plumber:V.1c%A °e Z coo <br /> 0 <br /> Anticipated Start Date: LLJ ' t o C C <br /> Page 1 of 4 Z C" <br /> urnett County, WI Land Use Application-Rev 3/2016 ^�j <br />