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LAND USE PERMIT APPLICATION — Burnett County, WI a <br />H <br />Applicant Complete All Sections Below This Line <br />Permit Types and Fees: (Check appropriate box/boxes) <br />Dwelling/Principal Building - Sutgle Family $300 <br />Addition to Dwel6ng/Principal Building - Single Family <br />$200 <br />Dwelling/Principal Building - Multi -Family $300 <br />Structural Alteration to Dwelting/Principal Buildings <br />$200 <br />Commercial/Industrial Building $300 <br />Addition to CommercialAndustrial Building <br />$200 <br />Accessory Structure(Non-Bunkhouse) $150 <br />Addition to Accessory Structure <br />$150 <br />Bunkhouse $250 <br />IRructural Alteration to Accessory Structure <br />$150 <br />Accessory Structure -Commercial (Cl & 11) $200 <br />Addition to Accessory Structure -Commercial (Cl & I1) <br />$200 <br />Deck/Stairs/Patio/Retaining Wall/Sidewalk/Driveway & <br />Campground aructures $125 <br />Gazebo (WI Rat 59.69200) <br />Filling/Grading <br />$350 <br />$150 <br />Camping Unit (Six Months Per Year) $100 <br />Boathouse <br />$500 <br />r-1 <br />Permit Extension (Valid for one year - Only 1 Allowed) 100H <br />i <br />*NOTE: After -the -fact (when no permit is obtained prior to construction) is up to three times the normal fee. <br />*Communication Towers & Sign require a different application form, see corresponding application and fees. <br />*Items not listed above will be treated as accessopy structures, such as: pergolas, landscaping, etc. <br />Property Owner's Name: <br />Property Owner's Mailing Ad <br />Property Site Address: <br />Contact's Telephone Number: <br />Contact's Email: <br />Legal Description of Property: <br />Section #: Town #: N Range #: W Town of: <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):. <br />Proposed Use of Structure/Addition: <br />Anticipated Start Date: <br />Building Contractor: <br />Womc/Cabin; Commercial Business; Bedroom; Deck; etc.) <br />Sewer Installer: <br />AREA BELOW IMM LINE RESERVED FOR ZONING STAFF MMMENIS/CONDITIONS ONLY <br />THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br />5/a7Jlg.- <br />Date of staff site visit: I 'tials of site visit staff: <br />PERMIT APPROVED BY ZONING OFFICI 1�e�DATE: <br />Page I of 3 <br />Burnett County, WI Land Use Application — Rev 03/2017 <br />Fee Rec: <br />b <br />sio <br />