Laserfiche WebLink
LAND UNE Irh WV111 "1rL1l;A 11UiN — Burnett l;ountV, W1 <br />Annlicant Cmmnlete All Sectinns Relnw This Tine <br />Permit Types and Fees: (Check appropriate box boxes) <br />Dvvelling/Principal Building- Single Family <br />$300 <br />Addition to D%wlling/Principal Building- Single Family $200 <br />D.%w1ling/Principal Building- Multi -Family <br />$300 <br />Structural Alteration to Dvvelling/Principal Buildings $200 <br />Commercial/Industrial Building <br />$300 <br />Addition to Commercial/Industrial Building $200 <br />0 <br />0 N <br />4✓ O <br />Accessory Structure(Non-Bunkhouse) <br />$150 <br />jAddition to Accessory Structure $150 <br />Bunkhouse <br />$250 <br />Structural Alteration to Accessory Structure $150 <br />Accessory Structure -Commercial (Cl & 11) <br />$200 <br />Addition to Accessory Structure -Commercial (Cl & 11) $200 <br />Deck/Stairs/Patio/Retaining Wall/Sidewalk/Driveway & <br />Campground Structures <br />$125 <br />Gazebo (WI Stat 59.692(l v)) $350 <br />Filling/Grading $150 <br />Camping Unit (Six Months Per Year) <br />$100 <br />1 Boathouse $500 <br />Permit Extension (Valid for one year - Only I Allowed) <br />I $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 will be treated as accessory structures, such as: pergolas, landscaping, etc. <br />Property Owner's Name: <br />C-le_ren 4 A14n Cy ga u,e r <br />Property Owner's Mailing Address: 10761 Y46�'14� ! l n 6-563 <br />/ `` City State Zip <br />Property Site Address: � � 7®0 / f �,l rr o j � c G Wgd'v_t S'ia n � -5iAl) viIr <br />Contact's Telephone Number: 4,51 7301 <br />Contact's Email: bb( Q re- 5 0 j rna1 I co m <br />Legal Description of Property: Vi_o1a L Z Su Lo 7 <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 propertypage. <br />Tax ID # (1-5 digit number; found on tax statement): r ®7 3 <br />Proposed Use of Structure/Addition: Lti 6 i n / ��'' s'r r��ac ¢>✓►e�1T <br />Anticipated Start Date: (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) <br />Building Contractor: Lw it e r Sewer Installer: \W 6_a (Z y -�S � a <br />AREA BELOW THIS LINE RESERVED FOR ZONING STAFF COMMENTS/CONDITIO_NS ONLY <br />THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br />�/Ino-k <br />MU �� `I`(�-e 2.� 0 T4 W M 0--1<, pf.-f- <br />�p4ior� v���i� �4�t, . <br />Date of staff site visit: .S — d_ 1 - ) �1 initialh of site vi it staff- se <br />PERMIT APPROVED BY ZONING OFFICIAL: DATE: <br />Page 1 of 3 <br />Burnett County, WI Land Use Application — Rev 03/2017 <br />a <br />N_ <br />0 <br />0 <br />m <br />N <br />i� <br />d <br />IFS <br />IN <br />to <br />a <br />C7 <br />C <br />C' <br />0 <br />CD <br />z <br />0 <br />b6. <br />n <br />Cn <br />o N <br />a <br />b <br />b <br />00 <br />1 <br />0 <br />Z <br />Fee Rec:� <br />*d <br />IS <br />LII <br />O <br />m <br />Ti <br />X <br />0 <br />H <br />C: <br />rrI <br />d <br />0 <br />0 N <br />4✓ O <br />Z 00 <br />