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LAND USE PERMIT APPLICATION --Burnett County, W1 <br /> Appliml Complete A11 r . .. . , <br /> Permit Types and Fees:(Check appropriate bo 1boxex) <br /> � llingrPrincipil&ikding.sngk Fwnily 3300 Ad*ionto D*ellinePrinc" el Mil din -Sim Fantify 5200 <br /> L7v+elkinOrinciptwk 1 adding-Iuidti-Fextily $300 ! rr�tiral Alteration to l)vm1hn Tj!j0, ak it n $200 <br /> C rnmerciallIndustriat BukbnB $300 Ad&tton to i o ntercial/Industrial W 1200 � <br /> Accessory Strttcttre(Non-BankhaAm) $130 Ad&tin to Accexvury Structure <br /> i3urrkthouse S250 r,ct+aat Alteration to Accessory Structure 5150 <br /> Accessory Strw in-Commercial(Cl A M S200 Add►tion to Acecsaory utruAwt-Carnmarcisk(Cl a it) S200 <br /> k <br /> C zebu(WI Stet$9,692(1v)-) S356cttJStaura(PetiatFtcteininQ Wslb�dtswettkll)ri4°c++uy 6t <br /> Campground St rustrres $125 FillingCnAng 11in <br /> GampwngtJnit{six Months Per Year} 5100 lioatthotre <br /> Pertrwtt Extension(Valid for one year-fMy I A110 S100 <br /> •PiQM After-the-faai(whcn no permit is obtained prior to txrnsttucton)is up to three d'tnttr the normal fee <br /> In <br /> Vommiaocabon lowers&Signs require a drop rent applicwwn Jost,see correspondutig iWAnation and . <br /> OIAms not firsirdabove will be reed as acm rory xv mchires,such as; *.1ru+ds <br /> Property Owner's'Dame: i% <br /> Property Owner's Mailing Address: <br /> City � Zip <br /> Prop" <br /> Site Address: L <br /> Contact's Telephone Number. � <br /> Contact's lmail: <br /> Legal Description of Property ROE f Le" !S I-vt A4ty Lk <br /> Section Town tl: N Runge#: W To I V 4 ' <br /> rAttach atkdtttgtsa)page heeded for lengthy desvriptlent at copy of the deed atWh sm system property page. <br /> Tax ID#(1-5 digit number,found on tax <br /> Proposed Use of Structure/Addition,��* �. � � kA <br /> Anticipated Start Date: kJ' t_t (H*mvCa6i*;Co ial SusineL &edrr ow,Deck,crc) <br /> N L. <br /> Building Contractor: g� Server lnstaElcr:_ =�� <br /> I FK B <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: tiY <br /> i� <br /> Fey Resc: <br /> : <br /> e <br /> d <br /> D2te of staff site Yb t: Y Initials of site visit staff: <br /> PERMIT APPROVED BY ZONING OFFI+CUL. � DATE: w _Mt <br /> Page 1 of <br /> Burnett County, WI Land Use A1tplization —Rev 03/2017 <br />