Laserfiche WebLink
LAND USE PERMIT APPLICATION — Burnett County, WI a c <br /> R s - ►o <br /> Applicant Complete All Sections Below This Line 0 c J <br /> a <br /> Permit Types and Fees:(Check appropriate box/boxes) Ln <br /> QJ <br /> Dwelling/Principal Building-Single Family $300 Addition to Dwelling/Principal Building-Single Family $200 <br /> Dwelling/Principal Building-Multi-Family $300 Structural Alteration to Dwelling/Principal Buildings $200 t$Z�l v'V OO <br /> Commercial/Industrial Building $300 Addition to Commercial/Industrial Building $200 R <br /> L Accessory Structure(Non-Bunkhouse) $150 Addition to Accessory Structure $150 <br /> o � <br /> Bunkhouse $250 Structural Alteration to Accessory Structure $150 �t, \J <br /> Accessory Structure-Commercial(Cl &11) $200 Addition to Accessory Structure-Commercial(CI &11) $200 c <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk/Driveway& Gazebo(WI Stat 59.692(lv)) $350 <br /> m <br /> Campground Structures $125 Filling/Grading $150 <br /> m <br /> Camping Unit(Six Months Per Year) $100 Boathouse $500 L-7 <br /> Permit Extension(Valid for one year-Only 1 Allowed) $100 <br /> *NOTE:After-the-fact(when no permit is obtained prior to construction)is up to three times the normal fee. <br /> o <br /> *Communication Towers&Signs require a different application form,see corresponding application and fees. <br /> 0 <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. <br /> Property Owner's Name: M AK I T 2 LQ I IJ 7 z <br /> .. <br /> Property Owner's Mailing Address: P0 (30)( 0 N ItIJ I 5 y so n <br /> A / City State Zip d <br /> Property Site Address: 19a 7 3 �� va . A ay-I1'\ <br /> Contact's Telephone Number: 7 ! S - 3 3 - I w <br /> Contact's Email: rGr 44P �� (�4 /a�_C O 1 <br /> Legal Description of Property: 130 ,k5 17-/X r 1 <br /> N-36vt <br /> Section#: Town#:�t �N Range#: wn of: .SGt,/-5 S <br /> If <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page. <br /> Tax ID#(1-5 digit number;found on tax statement): ,� �/ el V <br /> Proposed Use of Structure/Addition: C"I14r-D&AJ S P&46-� 5#b 0 J096 CL-5W" / <br /> Anticipated Start Date: t <br /> p �C1�'�- (Home/Cabin;Commercial Business;Bedroom;Deck;et�17Gjj'I,PLE � • <br /> n W <br /> Building Contractor: Sewer Installer: z Q) <br /> y � V <br /> AREA BELOW THIS LINE RESERVED FOR ZONING STAFF COMMENTS/CONDITIONS ONLY <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS /LISTED BELOW: <br /> ice! <br /> lle4 �1 Sal a �v(..7 5 t 1 tr'� a 0 <br /> Fee Rec:a;L5-. 1D <br /> x <br /> a <br /> m <br /> N <br /> -1 �% C <br /> Date of staff site visit: ! 7 17 Initials of site visit staff: m m <br /> _ 4 <br /> PERMIT APPROVED BY ZONING OFFICIAL: -- DATE: <br /> o <br /> �� o <br /> Page 1 of 3 02 <br /> Burnett County, WI Land Use Application—Rev 03/2017 <br /> m <br /> A <br /> m <br />