Laserfiche WebLink
LAND USE PERMIT APPLICATION — Burnett County, WI <br /> y ^ 1 <br /> N � <br /> Permit Fees: ; R VA <br /> o. <br /> Dwelling/Principal Building-Single Family $300 Addition to Dwellin Principal Building-Single Family $200 C7 <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 <br /> Accessory Stmcture(Non-Bunkhouse) <br /> Addition to Acc.Structure $150 Bunkhouse $250 I <br /> Accessory Structure-Commercial Cl &11) $200 Addition to Accessory Structure-Commercial CI & I1) $200 su ~ <br /> 0 <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk/Driveway& � I <br /> Screenporches-in campgrounds only) $125 Gazebo WI Stat 59.692(lv) $350 r <br /> Camping Unit $100 Filling/Grading $150 ° <br /> Permit Extension Valid for one year-Only 1 Allowed $100 Boathouse $500 <br /> *NOTE:After-the-fact(when no permit is obtained prior to construction)is up to three times the normal fee. ' <br /> *Communication Towers&Sighs require a different application form,see corresponding application and fees. o <br /> *Items not listed above will be treated as accessory structures,such as:pergolas, landscaping,etc. r <br /> o <br /> Applicant Complete All Sections Below This Line o <br /> Applicant's Name: �.L�i, Y_.I' `. Lori C011.radoor <br /> Applicant's Mailing Address: /.,).j ►V �U v <br /> City State Zip z <br /> O r <br /> Applicant's Telephone Number: (D �(� 3 5 c <br /> f d <br /> Applicant's Email: 1 CDII i a h-de r G lob N cJ COW <br /> If staff has a question about this application how do you prefer to be contacted? Check one below. N °� t <br /> [-]Letter IXIPhone ❑Email <br /> 'T ao <br /> Legal Description: 0 1 <br /> y <br /> Lot#: CSM Vol. Pg. OR <br /> Lot#: Block#: Subdivision Name: OR o <br /> Gov't Lot#: �ff <br /> D OR 1/4 1/4 � <br /> Section#: -�5 Town#:_3F _N Range#: 0 W Town of: WI btJJ j-Ve <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page. <br /> Parcel#(24 digits): 07- Oy ), - a <br /> z <br /> Tax ID#(1-5 digits): Ib qJ ����Property Site Address: 2ubic LJq6ls <br /> s <br /> TYPE OF PERMIT(S): Check appropriate box/boxes Fee Rec: <br /> ❑ Single Family Dwelling ❑ Multi-Family Dwelling ❑ Filling/Grading ❑ Commercial Building <br /> ❑ Single Family Addition ❑ Multi-Family Addition ❑ Deck/Patio ❑ Commercial Addition <br /> ❑ Stairs Acc. Structure(Non-bunkhouse) ❑ Bunkhouse ❑ Commercial Acc. Structure <br /> ❑ Permit Extension ❑ Gazebo-WI Stat 59.692(ly) ❑ Camping Unit ❑ Commercial Acc. Addition � <br /> LlBoathouse LlScreen porch-campgrounds only L3Retaining Wall L3Sidewalk/Driveway C <br /> LL M <br /> Proposed Structure/Addition Use: J.!d raA ZMmi. z <br /> ( omOCabin;Commer 'al Business;Bedroom;Deck;etc.) <br /> S� <br /> Building Contractor:_ Rod Er st Master Plumber: N A 0 N ou <br /> Anticipated Start Date: 7// s/oW& C rn <br /> Page 1 of 4 Z <br /> Burnett County, WI Land Use Application—Rev 3/2016 <br />