Laserfiche WebLink
LAND USE PERMIT APPLICATION — Burnett County. WI <br /> y w N <br /> Permit Fees: <br /> Dwelling/Principal Building-Single Family $300 Addition to DwellingtPrincipal Building-Single Family $200 a <br /> DwellingtPrincipal Building-Multi-Family $300 Addition to Dwelling/Principal Building-Multi-Family $200 <br /> CommerciaVlndustrial Building $300 Addition to CommerciaUtndustrial Building $200 O <br /> Accessory Structure/Addition to Acc.Structure $150 'bunkhouse $250 1 � <br /> Accessory Structure-Commercial C1&11) $200 Addition to Accessory Structure-Commercial(Cl &ll) $200 <br /> Deck/Stairs/Patios $125 Gazebo(WI Stat 59.692(l v)) $350 0 <br /> Camping Unit $100 Filling/Grading $150 <br /> Permit Extension Valid for one year-Only 1 Allowed) $100 <br /> 0 <br /> *NOTE:After-the-fact(when no permit is obtained prior to construction)is three times the normal fee. <br /> m <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, retaining walls. <br /> �o <br /> ' Applicant Complete All Sections Below This Line �. <br /> Z <br /> �/ (�, , � r— <br /> Applicant's Name: �'{� r/L_l/�`e <br /> �7r <br /> Applicant's Mailing Address: Jar 313 oa 51 Al bw/`e <br /> City State Zip rA <br /> Applicant's Telephone Number: [�/./� 4?7()() -oog O o y d <br /> Applicant's Email: r✓Ip o <br /> d <br /> If staff has a question about this application how do you prefer to be contacted? Check one below. l <br /> ❑Letter ❑Phone ErEmail tl° <br /> 0 <br /> Legal Description: �0+ 1 C51►1 #3�S`' V. -0 P,13 1 h Cti�jern Mevl+ �1-S rK+► 3S� ' <br /> Lot#:�_CSM Vol. 3;?_5 f-1 g.13 OR —ir'`( `'N d <br /> Lot#: Block#: Subdivision Name: OR a, , <br /> Gov't Lot#: OR 1/4 1/4 1 <br /> Section M Town#: N Range#: W Town of: <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): <br /> `� � O <br /> Tax ID#(1-5 digits): K,01� n z Sp <br /> 2 qp2 m � <br /> Property Site Address#: <br /> Road Name: 1��/�,n.( lakes`` City: <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 y <br /> 0 <br /> ❑ Stairs ❑ Acc. Structure(Non-bunkhouse) Q Bunkhouse ❑ Commercial Acc. Structure N <br /> L3Permit Extension LlGazebo-WI Stat 59.692(ly) LlCamping Unit L3CommercialAcc.Addition Z <br /> Proposed Structure/Addition Use: Ste'f �1�/J SCG Y�(�C> {f��S!N(�l y ICJI TZ <br /> (Home/Cabin;Commercial Bus' ess;Bedroom;Deck;etc.) -M n <br /> W ll tr Il <br /> Building Contractor: 5Q I i O o 0 <br /> Anticipated Start Date: <br /> Page 1 of 4 0 <br /> Burnett County, WI Land Use Application—Rev 4/2015 <br /> s <br /> m <br />