Laserfiche WebLink
LAND USE PERMIT APPLICATION —Burnett County, WI a b <br /> Applicant Complete All Sections Below This Line o n <br /> Permit Types and Fees:(Check appropriate box/boxes) 2 <br /> c <br /> Dwelling/Principal Building-Single Family $300 Addition to DvellmgTrincipal Building-Single Family $200 <br /> DwellingTrincipal Building-Multi-Family $300 Structural Alteration to Dwelling/Principal Building $200 <br /> Commerciat9ndustrial Building $300 Addition to Commercial/Industrial Building $200 ``— <br /> Accessory Structure(Non-Bunkhouse) $150 Addition to Accessory Structure $150 <br /> Bunkhouse $250 Structural Alteration to Accessory Structure 5150 < <br /> Accessory Structure-Commercial(Cl &Il) $200 Addition to Accessory Structure-Commercial(Cl &Il) $200 <br /> DecklStairs/Patio/Retaining WalliSidewalk/Driveway& Gazebo(WI Stat 59.692(lv)) $350 <br /> w <br /> Campground Structures $125 Filling/Gracting $150 <br /> Camping Unit(Six Months Per Year) $100 1 Bouthouse $500 <br /> ro <br /> Permit Extension(Valid for one year-Only I Allowed) $100 t— <br /> z <br /> *NOTE:After-the-fact(when no permit is obtained prior to construction)is up to three times the normal fee. <br /> *Communication Towers&Signs require a different application form,see corresponding application and fees. to <br /> *Items not listed above wifl be treated as accessory structures,such as:pergolas,landscaping, etc. <br /> Property Owner's Name: o �T <br /> ( Z5�ST �1 RCLF t+` (�AKGI� SSIZ <br /> Property Owner's Mailing Address: pOD(a <br /> _ rty State Zip o <br /> Property Site Address: �Ua ;(pL tLKSyN E —1�A0� K� U� 54 e)4 a <br /> Contact's Telephone Number: --7 ss o I <br /> � 1 I <br /> g � 4(9 L �MPrI o Uj <br /> Contact's Email:_ _ og�>cRR r � 1 , <br /> Legal Description ofPro e LOT 2 CSnA \1�1 PIS'L- # ( 2— h�T eSr(i1 "" 1 <br /> g P Property: f 3789�q� (cuy for �2mc, 14 1 P12£�� <br /> I _ <br /> Section#: 70 Town#:�N Range#: ( Qi W Town of. I Q(10t l H KC <br /> c <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page. <br /> Tax ID#(1-5 digit number;found on tax statement): <br /> O <br /> Proposed Use of Structure/Add' 'on: Q"K+iau 6Te_ r- <br /> Anticipated Start Date:: vimr. 2-C1 (Name/Cabin:Commercial Business:Bedroom:Deck:etc.) <br /> Building Contractor: eon N n"*6z`f-j 1l>F CoN e.rAvcr1g9er Installer: <br /> IIh3371 I13 1� I <br /> AREA BELOW THIS LINE RESERVED FOR ZONING STAFF COMMENTS/CONDITIONS ONLY <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELO : <br /> FeeRi <br /> 0 <br /> m <br /> N <br /> C <br /> z <br /> C, <br /> C <br /> Date of staff site visit: Initials of site visit staff: r <br /> PERMIT APPROVED BV ZONING OFFICIAL DATE: _ I 0 <br /> rFR <br /> Page 1 of 3 o C <br /> Burnett County, WI Land Use Application —Rev 03/2017 z <br /> s � <br /> M <br /> A <br /> m <br />