Laserfiche WebLink
LAND USE PERMIT APPLICATION — Burnett County, WI ro <br /> a - <br /> y' m r+ <br /> Permit Fees: o ;� <br /> a <br /> Dwelling/Principal Building-Single Family $300 Addition to Dwelling/Principal Building-Single Family $200 �K d <br /> Dwelling/Principal Building-Multi-Family $300 Addition to Dwelling/Principal Building-Multi-Family $200 <br /> Commercial/Industrial Building $300 Addition to Commercial/Industrial Building $200 O <br /> Accessory Structure/Addition to Acc.Structure il $150 Bunkhouse $250 I 1� <br /> Accessory Structure-Commercial Cl &11) $200 Addition to Accessory Structure-Commercial Cl &11) $200 <br /> Deck/Stairs/Patios $125 Gazebo WI Stat59.692(lv)) $350 <br /> Camping Unit $100 Filling/Grading $150 <br /> r <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 three times the normal fee. m <br /> *Communication Towers&Signs require a different application form,see corresponding application and fees. '- <br /> m <br /> *Items not listed above will be treated as accessoty structures,such as:pergolas,landscaping,retaining walls. Q <br /> Applicant Complete All Sections Below This Line . <br /> p \ o <br /> Applicant's Name: l O��i1A C Q i j ./f �e�fr /A <br /> Applicant's ant's Mailing Address: owi/yoy Jk-"t ISLA <br /> J <br /> y p City State zip e <br /> Applicant's Telephone Number: �g) � <br /> c <br /> m <br /> a <br /> Applicant's Email: p <br /> m <br /> If staff has a question about this application how do you prefer to be contacted? Check one below. <br /> ❑L/etter 'Phone ❑Email N <br /> w� <br /> Legal Description: & Z6 dy( W Scor (you timet 13 <br /> Lot#: i CSM Vol. Pg. OR o <br /> 1 <br /> Lot#: Block#: Subdivision Name: OR <br /> Gov't Lot#: OR 1/4 1/4 <br /> Section#: g Town#: `10 N Range#: 1 S W Town of: 3-t2t,k 5 0 h <br /> *Attach additional page if neededfor lengthy description OR attach a copy of the deed OR attach tax system property Page.* � <br /> Parcel#(24 digits): d 7'-61a_C2 -- 5/o-/S--/V-S' OS- 013 -D/.loop I <br /> Tax ID#(1-5 digits): z <br /> Property Site Address#: <br /> Road Name: COWA4!4 Ron City: <br /> � 1 <br /> TYPE OF PERMIT(S): Check appropriate box/boxes Fee Rec:1 <br /> ❑ Single Family Dwelling ❑ Multi-Family Dwelling ❑ Filling/Grading ❑ Commercial Building x <br /> H <br /> ❑ Single Family Addition ❑ Multi-Family Addition ❑ Deck/Patio ❑ Commercial Addition 6 <br /> ❑ Stairs 18,Acc. Structure(Non bunkhouse) Ll Bunkhouse L3 Commercial Acc. Structure N <br /> ❑ Permit Extension ❑ Gazebo-WI Stat 59.692(ly) ❑l Camping Unit ❑ Commercial Acc.Addition <br /> Proposed Structure/Addition Use: CCw- eo r- <br /> (Home/ abin;Commercial Business:Bedroom;Deck;etc.) <br /> r^ <br /> Building Contractor: �C�/� J&-t4 X54 1-1 <br /> '� GO <br /> Anticipated Start Date: <br /> �t 3910/5� ry � <br /> Page 1 of 4 �y <br /> Burnett County,WI Land Use Application-Rev 4/2015 > <br /> 3 <br /> v <br /> x <br /> M <br /> A <br /> M <br />