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LAND USE PERMIT APPLICATION — Burnett County, WI <br />. All Q-:..«.. D> 1-- Tl„e i ;n <br />Permit Types and Fees: (Check appropriate box/boxes) <br />v <br />m <br />W <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 />m <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 (C1 & 11) $200 1 <br />Addition to Accessory Structure -Commercial (Cl & 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 Toners & Signs require a different application form, see corresponding application and, fees. <br />*hems not listed above will be treated as accessory structures, such as: pergolas, landscaping, etc. <br />Property Owner's Name: <br />Property Owner's Mailing Address: <br />Property Site Address: al ` g 3 LI <br />54XQ.ACk V \gc, V, <br />2,1 fie-- 94-4, <br />lam' K eK 1 <br />W 1�it <br />S_)iC{ <br />t*. 5'J6 <br />State Zip <br />Contact's Telephone <br />-Number: (,!2 e 2LA,—T j j <br />Contact's Email: ��4 �G re 40 <br />Legal Description of Property: <br />Section #: j(O Town #: O N Range #: W Town of: CiyA iBy , <br />*,4ttach 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): -2-5103 <br />Proposed Use of Structure/Addition: Q rcX�� v---, Yy,�S`P_ <br />Anticipated Start Date: (HomeiCabin:tommercial 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: ) )' 6 1 I Ini 'als of si a visit staff: <_( <br />PERMIT APPROVED BY ZONING OFFICIAL: DATE:N_� L/ 17�� <br />/a <br />-QO -) <br />Page 1 of 3 <br />Burnett County, WI Land Use Application — Rev 03/2017 <br />r <br />b <br />1 <br />V) <br />G <br />V) <br />Fee Rec:&,Vat,� <br />y <br />v <br />m <br />W <br />n <br />a <br />o <br />0 <br />� <br />e <br />o Z <br />o <br />_Ij Gtr <br />y <br />m <br />r� <br />