Laserfiche WebLink
Ln <br /> b r <br /> LAND USE PERMIT APPLICATION —Barnett County,W1 a [ <br /> y N <br /> P 71 <br /> Permit Fees: <br /> c7 <br /> Dwelling/Principal Bttildin -Sin le Famil $300 Addition to Dwelling/Principal Building-Sin le Family $200 <br /> Dwelling/Principal Building-Multi-Famii $300 Addition to DwellingTrincipal Building-Multi-Family $200 <br /> Commerciall[ndustrial Building $300 Addition to CommerciaMndustrial.BuiL <br /> Bunkhouse $ 1 p <br /> a <br /> Accesso Swcture/Addition to Acc.Structure $150 Bunkhse Y <br /> Accesso structure-Commercial CI &Il $200 Addition to AccessoryStructure-Commercial Ct&11 $200 p <br /> Deck/Sirs/Patios $125 Gazebo(WI Stat 59.692 Iv $350 0 Z <br /> ta $150 <br /> Camping Unit $100 Filling/Gradingr. <br /> 0 <br /> Permit Extension(Valid for one car-0111 1 Allowed $100 U 1 <br /> y <br /> Permit G) <br /> *NOTE:After-the-fact(when no P nit is Obtained priar to construction)is three times tote normal fee• e <br /> *Communication Towers&Signs require a different application form,see corresponding application and fees. <br /> *Items not listed above will be treated as accessory structures, such as: er olas, landsca ing, retaining walls. <br /> Applicant Complete All Sections Below This Line g z <br /> Applicant's Name: <br /> auc�l � C ` jbri4.4 r-e. "t t� <br /> C ✓l art r '� r r/ )21 .5 / <br /> Applicant's Mailing Address: e*1/ rr <br /> 4 dr hd Ciry State Zap -Z$ <br /> r q• t . - , ,.,,,pyai o <br /> Applicant's Telephone Ntnnbcr: <br /> a <br /> Applicant's Email: Q j <br /> If staff has a question about this application bow do you prefer to be contacted? Check one below. <br /> ❑Letter ❑Phone CZEmail N <br /> 0 <br /> Legal Description: b I <br /> Lot#: CSM Vol. Pg. <br /> OR <br /> Lot#: <br /> Block#: Subdivision Name: OR <br /> Gov't Lot#: OR 1/4 1/4 <br /> Section#: Town th N Range#: W Town olf <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page. <br /> i <br /> Parcel#(24 digits): <br /> G 7 - C�/c�- . II _I S" -l� .� " z <br /> n � <br /> Tax ID#(1-5 digits): 2711 - -7-710 <br /> jut <br /> Property Site Address# v 1 <br /> Road Name: I< /.It"t f'"t: <br /> " City: <br /> TYPE OF PERMIT(S): Check appropriate box/boxes Fee Rec: <br /> L3Single Family Dwelling ❑ Multi-Famity Dwelling ❑ Filling/Grading ❑ Commercial Building <br /> ❑ Single Family Addition O Mufti-Family Addition ❑ Deck/Patio O Commercial Addition , <br /> ❑ Stairs Acc. Structure(Non-bunkhouse) ElBunkhouse ❑ Commercial Acc. Structure <br /> ❑ Permit Extension ❑ Gazebo-WI Stat 59.692(ly) ❑ Camping Unit ❑ Commercial Acc.Addition � h'�J <br /> Proposed Structure/Addition Use: <br /> . , ` Z v <br /> (HoMe/Cabin;Commercial Business;Bedroom;Deck;etc.) 1� <br /> Cr C7 <br /> Building Contractor: (� <br /> L v tau°''' ' 1 '' ^' <br /> 0 <br /> rn <br /> Anticipated Start Date: .SU.i11t�1Gr- �G Uuu <br /> Page 1 of 4 `..—.-/ <br /> Burnett County,WI Land Use Application—Rev 1/2016 <br /> in <br />