Laserfiche WebLink
LAND USE PERMIT APPLICATION - Burnett County NN'I <br />Annlicant f mmnlPtP All QPrtinne RP1nur Thic t *- <br />Permit Types and Fees: (Check appropriate box/boxes) <br />� <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 />Commercialilndustrial Building $300 <br />lAddition to Commercial/Industrial Building <br />$200 <br />Accessory Structure(Non-Bunkhouse) S150 <br />jAddition to Accessory Structure <br />5150 <br />Bunkhouse $250 <br />Structural Alteration to Accessory Structure <br />$150 <br />Accessory Structure -Commercial (Cl & I t ) $200 <br />Addition to Accessory Structure -Commercial (Cl & I I) <br />S200 <br />Deck/Stairs'Patio/Retaining WalLSidewalk Driveway & <br />Campground Structures $125 <br />Gazebo (WI Stat 59.692(lv)) <br />5350 <br />Filling/Grading <br />$ISO <br />Camping Unit (Six Months Per Year) 5100 <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 dij 4rrent application firm. see corresponding application and lees. <br />*items not listed above will he treated as accessory structures, such as: pergolas, landscaping, etc. <br />Property Owner's Name: �LUrI /T <br />Property Owner's Mailing Address: 1�0701517� <br />Property Site <br />Contact's Telephone Number: Zp1';�>1 " eas — 6 -3 <br />Contact's Email:9,n_rr;��M �P, C( �L, ej_ r <br />1% <br />Legal Description of Property: LbT / 0,5m V 13 tO <br />Section #: Town #:__ �d N Range #: 14e W Town of:_QQ <br />*.1 ttach additional page if needed for lengthy description OR attach a copy of tare deed OR attach tar system propenf page.' <br />Tax ID # (1-5 digit number; found on tax statement): 13h,?- <br />Proposed Use of S tune/Ad ition• \ <br />Anticipated Start Dat (Home, Cabin: Commercial Business: Bedroom; Deck: etc.) <br />Building Contractor: 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 />St�l� <br />Date of staff site visit3_ �� Initials of site visit staff: 53 <br />PER�N11T APPROVED B1' ZONING OFFICIAL: ATE: G'S� 1-7 <br />Pagel of 3 <br />Burnett CountN,, «VI Land Use :application — Rev 03/2017 <br />CA <br />0 <br />v <br />H <br />z <br />Fee Rec:kin, Ml <br />V2 <br />H <br />as <br />rr03z <br />QC ;�� <br />m <br />� <br />w <br />G <br />O <br />Z <br />V <br />a LC <br />