Laserfiche WebLink
LAND USE PERMIT APPLICATION —Burnett County, WI <br /> Permit Fees: 0 <br /> sIF, <br /> a <br /> Dwellin rinci al Building-Sin le Family $300 Addition to Dwell in Princi al Building-Single FamilyQ0$200 I r� � � , <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 O <br /> Accessory Structure(Non-Bunkhouse) F <br /> Addition to Acc.Structure $1 unkhouse $250 <br /> Accessory Structure-Commercial(Cl &11) 00 Addition to Accessory Structure-Commercial Cl &H) $200 <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk/Driveway& <br /> Screen orches-in campgrounds only) $125 Gazebo WI Stat 59.692 Iv $350 <br /> Camping Unit - <br /> $100 Filling/Grading $150 °^ <br /> Permit Extension Valid for one year-Only 1 Allowed) $100 Boathouse $500 iv <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. Z� <br /> �o <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. <br /> (t Applicant Complete All Sections Below This Line o <br /> Applicant's Name: <br /> Applicant's Mailing Address: Zzn t+q�k1(. <br /> `` City State zip 2.< <br /> Applicant's Telephone Number: (da t�5-C C&k <br /> 0 <br /> Applicant's Email: W,zc�� +rl���C� ) <br /> If staff has a question about this application how do you prefer to be contacted? Check one below. N <br /> 1 \ ❑Letter 7 <br /> ,'hone {mail ,• <br /> Legal Description: L C 5 Z\, Z5,zt- <br /> 3. <br /> Lot#: CSM Vol. Pg. OR y <br /> Lot#: -2(e Block#: Subdivision Name: � � C a� OR o f <br /> Gov't Lot#: OR 1/4 1/4 ' i 1 <br /> Section#: ZZ. Town#: 40 N Range C W Town of: <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attachtaxsystem property page. <br /> Parcel#(24 digits): <br /> 034v000 n z <br /> Tax ID#(1-5 digits): X <br /> Property Site Address: � `�o `�SCS U) <br /> s <br /> TYPE OF PERMIT(S): Check appropriate box/boxes FeeRec: I_rZvQ0 <br /> ❑ Single Family Dwelling LJ Multi-Family Dwelling L3Filling/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 i ) J 1 7 1 <br /> �3C <br /> Proposed Structure/Addition Use: C}\UaLc C� Z <br /> (Home in;Commercial Business;Bedroom;Deck;etc.) 0 M co� r <br /> Building Contractor: CC)OL L Master Plumber: Z <br /> Anticipated Start Date: �f/ Z I t- 17 O _oCEig <br /> Page 1 of 4 Z (� <br /> Burnett County,WI Land Use Application—Rev 3/2016 :� (�—'� <br />