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0�7 <br />LAND USE PERMIT APPLICATION — Burnett County, WI <br />Amlicant Complete All Seefinna Relnw This I .inP <br />Permit Types and Fees: (Check appropriate box/boxes) <br />Dwelling/Principal Building - Single Family $300 <br />jAdditi.. to Dwelling/Principal Building - Single Family <br />$200 <br />Dwelling/Principal Building - Multi -Family $300 <br />Structural Alteration to Dmiling/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 (Cl & I1) $200 <br />Addition to Accessory Structure -Commercial (C1 & I1) <br />$200 <br />Deck/Stairs/Patio/Retaining Wall/Sidewalk/Driveway & <br />Campground Structures $125 <br />Gazebo (WI Stat 59.692(lv)) <br />Filling/Grading <br />$350 <br />$150 <br />Camping Unit (Six Months Per Year) $100 <br />Boathouse <br />$500 <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 />*Communication Towers & Signs require a different application form, see corresponding application and fees. <br />*items not listed above wiU be treated as accessory structures, such as: pergolas, landscaping, etc. <br />Property Owner's Name: <br />Property Owner's Mailing Add; <br />Property Site Address: G/J'` <br />City State Zip <br />Contact's Telephone Number: <br />Contact's Email: 06,c <br />Legal Description of Property: 46r 3 v <br />Section #: Town #: _N Range #: /s W Town of: s"J jr-SJ <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): A A& Ej3 <br />Proposed Use of Structure/. <br />Anticipated Start Date:_ <br />Building Contractor: <br />(Home/Cabin; Commercial Business, Bedroom; Deck; etc.) <br />Sewer Installer: A tlft <br />AREA BELOW THIS LINE RESERVED FOR ZOMNG STAFF COAVAC TSICONDM ONS ONLY <br />THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br />0 1�� <br />Date of staff site visit: Initials of site visit staff: .5-0 <br />eAA� <br />PERMIT APPROVED BY ZONING OFFICIAL LDATE: ~ �d <br />Page 1 of 3 <br />Burnett County, WI Land Use Application — Rev 03/2017 <br />0 <br />0 <br />a <br />0 <br />0 <br />b <br />�� <br />z <br />z <br />0 <br />Fee Rec: <br />i <br />