Laserfiche WebLink
LAND USE PERMIT APPLICATION- Burnett County, WI a ro <br /> y 1 <br /> Permit Fees: ; a a <br /> DwellinglPrincipal Building-Single Family $300 Addition to Dwelling/Principal Building-Single Family $200 O N <br /> Dwellin rinci al Building-Multi-Family $300 Addition to Dwelling/Principal Building-Multi-Family $200 <br /> CommerciaVIndustrial Building $300 Addition to Commercial/Industrial Building $200 0 <br /> Accessory Structure/Addition to Ace.StructureP005 <br /> Bunkhouse $250 1 = <br /> Accesso Structure-Commercial Cl &Il Addition to Accessory Structure-Commercial Cl &Il $200 <br /> Deck/Stairs/Patios $125 Gazebo(WI Stat 59.692(lv)) $350 <br /> Camping Unit $100 Filling/Grading $150 -- <br /> Permit Extension Valid for one year-Only I Allowed $100 <br /> 0 <br /> *NOTE:After-the-fact(when no permit is obtained prior to construction)is three times the normal fee. i <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:pergolds, landscaping,retaining walls. <br /> v <br /> CZ <br /> Applicant Complete All Sections Below This Line � <br /> Z <br /> Applicant's Name: .¢rem V L. ID/�ao/l5 <br /> Applicant's Mailing Address: q8(a cock, TiWj /w <br /> City State Zip <br /> (pili o��i� z <br /> Applicant's Telephone Number: ^ 10$7 c y <br /> a l <br /> Applicant's Email:aAlrs exe V © V61.0n [.Owl p <br /> w <br /> m <br /> If staff has a question about this application how do you prefer to be contacted? Check one below. <br /> ❑Letter Phone ❑Email N 00 I <br /> Legal Description: 1 <br /> a <br /> Lot#: CSM Vol. Pg. OR o <br /> 45' Block -'moi s Ips►!rg k�- 4 OR <br /> Lot#: OWBlock#: Subdivision Name: G6W <br /> Gov't Lot#: OR 1/4 1/4 F <br /> 0 <br /> Section#: Town#: N Range#: W Town of: <br /> I , <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):_ �7" l�" �"71e ^�.f�aI�'•r f��7C.r^dIS'DOa <br /> Tax ID#(1-5 digits): X I <br /> p � <br /> Property Site Address#: �a4+fM TWO <br /> Road Name: sky ke top ��ya _ City:_ &)453ex td.= <br /> TYPE OF PERMIT(S): Check appropriate box/boxes Fee Re, )0 <br /> ❑ Single Family Dwelling ❑ Multi-Family Dwelling ❑ Filling/Grading ❑ Commercial Building <br /> ❑ Single Family Addition ❑ Multi-Family Addition ❑ Deck/Patio ❑ Commercial Addition 5 <br /> ❑ Stairs XAcc. Structure(Non-bunkhouse) ❑ Bunkhouse ❑ Commercial Acc. Structure m <br /> ❑ Permit Extension ❑ Gazebo—WI Stat 59.692(ly) ❑ Camping Unit ❑ Commercial Acc. Addition Q <br /> U] <br /> C <br /> Proposed Structure/Addition Use: y D t^ <br /> (H eXabin;Commercial Business;Bedroom;Deck;etc.) Z !' <br /> Building Contractor:_ µONM. ownw 7 �l <br /> Anticipated Start Date: 0 <br /> Page 1 of 4 c Z <br /> Burnett County, WI Land Use Application—Rev 1/2016 > r� <br /> S. <br /> m <br /> m <br />