Laserfiche WebLink
r ro <br /> LAND USE PERMIT APPLICATION — Burnett County, WI <br /> Permit Fees: g ;h <br /> a <br /> Dwelling/Principal Building-Single Family $300 Addition to Dwellin Princi al Building-Single Family $200 C7 <br /> Dwelling/Principal Building-Multi-Family $300 Addition to Dwellin Princi al Building-Multi-Family $200 <br /> Commercial/Industrial Building $300 Addition to Commercial/Industrial Building $200 v O <br /> Accessory Structure/Addition to Acc.Structure $150 Bunkhouse $250 1 0 <br /> Accesso Structure-Commercial Cl &Il) $200 Addition to AccessoryStructure-Commercial Cl &Il $200 <br /> Deck/Stairs/Patios $125 Gazebo(WI Stat 59.692 Ivp $350 c \ <br /> Camping Unit $100 Filling/Grading $150 <br /> Permit Extension Valid for one year-Only 1 Allowed) $100 S , <br /> *NOTE:After-the-fact(when no permit is obtained prior to construction)is three times the normal fee. <br /> *Communication Towers&Signs require a different application form,see corresponding application and fees. <br /> *ltems not listed above will be treated as accessory structures,such as:pergolas,landscaping, retaining walls. 2 <br /> ro <br /> Applicant Complete All Sections Below This Line <br /> i z <br /> Applicant's Name: e4iq Eil I e- Lda,11-e— - ' I <br /> Applicant's Mailing Address: I1i3 p l)1/y1,1Ltr1( ��rc� Q �f}iA/e �/� 7J,-i r / <br /> City State zip vn <br /> Applicant's ant's TelePhone Number: G 1 d-- 76 F tis < z <br /> o H '� <br /> ii / a <br /> Applicant's Email: I A-be-1 � L g tJG N <br /> B <br /> If staff has a question about this application how do you prefer to be contacted? Check one below. <br /> ro <br /> ❑Letter NPhone EgEmail N <br /> Legal Description: a. <br /> Lot M CSM Vol. Pg. OR o <br /> m <br /> 7. <br /> Lot#: Block#: Subdivision Name: OR <br /> Gov't Lot#: OR 1/4 1/4 F 1 <br /> Section#: Town#:------I_N Range#:-A-LL�3 W Town of: 4 40-NO IJ <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* 1 <br /> _ 1 <br /> Parcel#(24 digits): 1'(�� y�'� ` 16 �l�•S�"5� 0-5`0306-517000 <br /> Tax ID#(1-5 digits): l ( n z <br /> Property Sit Address#: p N <br /> Road Name: 1 lg o City:ilULI,�STQ K <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 6 <br /> ❑ Stairs ❑ Acc. Structure(Non-bunkhouse) ❑ Bunkhouse ❑ Commercial Acc. Structure o C <br /> ❑ Permit Extension ❑ Gazebo-WI Stat 59.692(ly) ❑ Camping Unit ❑ Commercial Acc.Addition <br /> 0 Z m <br /> Proposed Structure/Addition Use: e ti > 0 v <br /> (Home/ akin;Commercial Business;Bedroom;Deck;etc.) 4Z )—At! U U <br /> Building Contractor: j 0 0 o <br /> Anticipated Start Date: 36Co m Z <br /> Page 1 of 4 o `� <br /> Burnett County,WI Land Use Application—Rev 4/2015 <br /> m <br /> z <br /> m <br />