Laserfiche WebLink
LAND USE PERMIT APPLICATION—Burnett County WI <br /> Applicant Complete All Sections Below This Line <br /> Permit Types and Fees:(Check appropriate box/boxes) <br /> Dwelling/Principal Building-Single Family $300 1 Addition to Dwelling/Principal Building-Single Family $200 ( t� <br /> Dwelling/Principal Building-Multi-Family $300 1 Structural Alteration to Dwelting/Principal Buildings $200 1 <br /> 1 <br /> Commercial/Industrial Building $300 1 jAddititm to Commercial/Industrial Building $200 � <br /> Accessory Structure(Non-Bunkhouse) $150 1 jAddition to Accessory Structure $150 <br /> Bunkhouse $250 Structural Alteration to Accessory Structure $150 <br /> Accessory Structure-Commercial(Cl&Il) $200 1 Addition to Accessory Structure-Commercial(Cl&11) $200 0 <br /> Deck/&airs(Patio/Retaining Wall/Sidevalk/Driveway& Gazebo(Wl Stat 59.692(lv)) 5350 ry <br /> Campground Structures $125 !Filling/Grading S150 ' <br /> Camping Unit(Site Months Per Year) 5100 Boathouse 5500 <br /> ro <br /> Permit Extension(Valid for one year-Only 1 Allowed) S100 s, <br /> *NOTE After-the-fad(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. c <br /> *Items not listed above will be treated as accessory structures,such as:pergolm,landscaping,etc. <br /> Property Owner's Name: 6 C.) L � z <br /> Property Owner's Mailing Address: ( 66 r A o 1 U /pt a r` Or 6/Q to e MhState <br /> SSy = O <br /> Property Site Address: Ip 7'7 to -4 7 wt�S Fer G./f S^y1p 0 <br /> rf,� <br /> / ^ <br /> Contact's Telephone Number: 1(7! a o`� LAP-YS c I ro <br /> Contact's Email: L,a VN er e. ✓\ COM 00 <br /> d <br /> Legal Description of Property: 600 /Z4 3 � <br /> Section#:3 5 Town#:-3-4A..N Range#: / & W Town of /h B Cn O r) y <br /> *Attach additional needed or len description OR attach a co of the deed OR attach tax <br /> Page� f g�1' P PY system property page. <br /> Tax ID#(1-5 digit number,found on tax statement): 19 ,/)�3 �� 8O O 1 <br /> Proposed Use of Structure/Addition j- -rA5 Cr V'e..0 n /00 re r 1 <br /> Anticipated Start Date: 7 (HowYCabin;Commercial Business;Bedroom;Deck:etc.) <br /> Building Contractor: � Sewer Installer: R z l <br /> z <br /> AREA BELOW THIS LINE RESERVED FOR ZONING STAFF COMMENTS(CONDITIONS ONLY <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> Fee Rec:ay0 <br /> N <br /> N <br /> e <br /> m <br /> O <br /> z <br /> Date of staff site visit: Initials of site visit staff: C= <br /> 0 _ <br /> PERMIT APPROVED BY ZONING OFFICIAL: DATE: — !1 N rn <br /> ©� <br /> N C <br /> Page 1 of 3 j 2 <br /> Burnett County,WI Land Use Application—Rev 03/2017 C 0 0 <br />