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LAND USE PERMIT APPLICATION -Burnett County, WI 0 7 b <br /> Applicant Complete All Sections Below This Line 0 cnN <br /> Permit Types and Fees:(Please,check appropriate boxes) a. <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 d 0 <br /> 0 <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 t� <br /> X Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 ^U <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 ,„ :; <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 <br /> Driveways/&Campground Structures $125 I St Statute 59.692(1v)Structures $350 eF I <br /> Filling/Grading $150 / B shouse $500 <br /> Six Month Camping Unit(One Per Year) $100 Permit Extension(1 Year Extension-Allowed Once) $100 <br /> *NOTE:After-the-fact permits(permit aquired after construction has begun)may cost up to three times the normal fee. 1 r\ <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 /> -, r <br /> Property Owner's Name: M � 't I -44l ' A t 't (G.t.)o X <br /> z 11 <br /> O • <br /> Property Owner's Mailing Address: t 0 d 3 W- t+-4n PL'E .5 f S P g o r)t 2 uJ.1 ( ;; i <br /> City State Zip b v <br /> Property Site Address: 2.'11 to 4 s cti t<' q t c....) +-n1• APsG„ot et. „,..)= 54 s i o r <br /> 1164 <br /> Contact's Telephone Number: 3 t c 01 301 ?A 40 ' C <br /> o <br /> Contact's Email: vt u 't te ted 0 7i a o-VT , riot-'. a <br /> C7 <br /> .. <br /> Legal Description of Property: SO iv mks e P,,c I'<- # S <br /> 0 o0 <br /> Section#: 0? <br />