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LAND USE PERMIT APPLICATION - Burnett County, WI <br />Applicant Complete All Sections Below This Line <br />Permit Types and Fees: (Check appropriate box/boxes) <br />.b <br />Dwelling/Principal Building - Single Family $300 <br />Addition to Dwelling/Principal Building - Single Family <br />$200 <br />Dwelling/Principal Building - Multi -Family $300 <br />Structural Alteration to Dwelling/Principal Buildings <br />$200 <br />Commercial/Industrial Building $300 <br />Addition to Commercial/Industrial Building <br />$200 <br />Accessory Structure(Non-Bunkhouse) $150 <br />Addition to Accessory Structure <br />$150 <br />Bunkhouse $250 <br />Structural Alteration to Accessory Structure <br />$150 <br />Accessory Structure -Commercial (CI & 11) $200 1 <br />Addition to Accessory Structure -Commercial (Cl &11) <br />$200 <br />Deck/Stairs/Patio/Retaining Wall/Sidewalk/Driveway & <br />Campground Structures $125 01 <br />Gazebo (WI Stat 59.692(lv)) <br />Filling/Grading <br />$350 <br />$150 <br />tamping Unit (Six Months Per Year) $100 <br />Boathouse <br />$500 <br />Permit Extension (Valid for one year - Only I Allowed) $100 <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. <br />0 <br />*Items not listed above will be treated as accessory structures, such as: pergolas, landscaping, etc. <br />n <br />a <br />Property Owner's Name: <br />Property Owner's Mailing Address: <br />City State Zip <br />Property Site Address: '•3SC-4, S �—Acj(m V.-O'ID "j <br />Contact's Telephone Number: �r�g �-� o <br />0 <br />Contact's Email: �¢EQ-T C ��? J o"A004<<" d <br />Legal Description of Property: 3 y fl /,k?. l� L -OT CS -VA 1$55 <br />Section #: Town #: N Range #: W Town of. <br />*Attach additional page if neededfor 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): 2 v <br />Proposed Use of Structure/Addition: g-'i'f a <br />Anticipated Start Date:(Home/Cabin; Commercial Business; Bedroom; Deck; etc.) <br />Building Contractor: Sewer Installer: �J I A <br />AREA BELOW THIS LINE RESERVED FOR ZONING STAFF COMMENTS/CONDITIONS ONLY <br />THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br />1 OW it.. s" L,WC .9 !' vi�rcmev��S t1 ^ <br />� <br />11 1 �h awn 1nv.� w �l1 r cdl A, e. <br />G <br />p <br />Date of staff site visit: 1 J I 'tials of site visit staff. D� <br />PERMIT APPROVED BY ZONING OFFICIAL• DATE f 17 <br />Page 1 of 3 <br />Burnett County, WI Land Use Application — Rev 03/2017 <br />w <br />CD <br />n <br />C) <br />0 <br />0 <br />0 <br />b <br />0 <br />0 <br />z <br />0 <br />n <br />o u <br />z <br />a <br />v' <br />ro <br />oa 4-1 <br />+C� <br />it <br />-� <br />0 <br />E <br />0 <br />H <br />z <br />Fee Rec3 <br />