Laserfiche WebLink
Permit Types and Fees: (Check appropriate box/boxes) <br />I DwelIing/Principal Building - Single Family, $300 <br />Dwelling/Principal Building- Multi -Family $300 <br />Commercial/Industrial Building $300 <br />Accessory Structure(Non-Bunkhouse) $150 <br />Bunkhouse $250 <br />Accessory Structure -Commercial (CI & 11) $200 <br />Deck/Stairs/Patio/Retaining Wall/SidewalklDriveway & <br />Campground Structures $125 <br />Camping Unit (Six Months Per Year) $100 <br />Permit Extension (Valid for one year - Only I Allowed) I $100 <br />Addition to Dwelling/Principal Building- Single Family <br />$200 <br />Structural Alteration to Dwelling/Principal Buildings <br />$200 <br />Addition to Commercial/Industrial Building <br />$200 <br />Addition to Accessory Structure <br />$150 <br />Structural Alteration to Accessory Structure <br />$150 <br />Addition to Accessory Structure -Commercial (CI & I1) <br />$200 <br />Gazebo (WI Stat 59.692(lv)) <br />$350 <br />Filling/Grading <br />$150 <br />Boathouse <br />$500 <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 />*Items not listed above will be treated as accessory structures, such as: pergolas, landscaping, etc. /—', ct e. A <br />Property Owner's Name: <br />Property Owner's Mailing Address: <br />_ City State Zip <br />Property Site Address: ✓ �� /< �L /G 17 UC ZQ Qr art w t 571,P7, <br />Contact's Telephone Number: %/ "2 <br />Contact's Email: 1 6 e /s C ,/T Ze 0-e 2 a6, C. d � <br />Legal Description of Property: L, d 3 C V ( Q ' 3 <br />Section #: !0 S Town #:­3_�j_N Range #:_J(�__W Town of: rV) 1i&O o tJ <br />*Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system propertypage. <br />Tax ID # (1-5 digit number; found on tax statement): <br />Proposed Use of Structure/Addition: ' 14 (R 14 G t <br />Anticipated Start Date: (Home/Cabin: Commercial Business; Bedroom: Deck: etc.) <br />Building Contractor: <br />Sewer Installer: <br />AREA BELOW THIS LINE RESERVED FOR ZONING STAFF COMMENTS/CONDITIONS ONLY <br />THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br />Date of staff site visit: / J �„ a / Initials of site visit staff: <br /><_j� <br />PERMIT APPROVED BY ZONING OFFICIAL:' (l` DATE: r <br />Page 1 of 3 <br />Burnett County, WI Land Use Application — Rev 03/2017 <br />I� <br />r <br />Fee Rec:j-1Z,M <br />;n <br />0 <br />N <br />O <br />z <br />z <br />n <br />z� <br />M <br />m <br />a~io <br />o <br />C7 <br />