Laserfiche WebLink
LAND USE PERMIT APPLICATION — Burnett County, WI a C <br /> Applicant Complete All Sections Below This Line v <br /> Permit Types and Fees:(Check appropriate box/boxes) <br /> Dwelling/Principal Building-Single Family $300 Addition to Dwelling/Principal Building-Single Family $200 \ v <br /> Dwelling/Principal Building-Multi-Family $300 Structural Alteration to Dwelling/Principal Buildings $200 0 <br /> Commercial/Industrial 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 $150 < c <br /> Accessory Structure-Commercial(Cl &II) $200 Addition to Accessory Structure-Commercial(CI &11) $200 p ' <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk/Driveway& Gazebo(WI Stat 59.692(lv)) $350 w <br /> Campground Structures $125 1 Filling/Grading $150 <br /> d <br /> Camping Unit(Six Months Per Year) $100 Boathouse $500 b <br /> Permit Extension(Valid for one year-Only I Allowed) $100 S ,� <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. o v� <br /> 0 <br /> *Items not listed above will be heated as accessory structures,such as:pergolas,landscaping,etc. a <br /> -II w` n <br /> Property Owner's Name: J)RtJ 14 n1 t�G���� 3 <br /> z <br /> o <br /> Property Owner's Mailing Address: ! avl ' W) L 7'h��Jy, -0i4N a <br /> City State Zip o <br /> Property Site Address: e�q ocj7 OL 11 S( r)tNl QXk4F_ TI-jbJtt _bQPy41.4 LA <br /> Contact's Telephone Number: l//�- ��� - 7 yy <br /> Contact's Email: Vn 0.U eGL17(ls h q&yrl qn ce-n .42J,A I IT/ <br /> Legal Description of Property: Lo 1p.�A GpQ e✓1 /4 c t Ti OY1 `lV V Y, l <br /> Section#: O'7 Town#: ND IJ N Range#:____L_q_W Town of: S C r, rr <br /> 0 <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): Lt 4 E -1 <br /> Proposed Use of Structure/Addition: 144 tm e- <br /> Anticipated Start Date: (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) <br /> Building Contractor: Sewer Installer: ✓%,S z <br /> w <br /> 70 <br /> AREA BELOW THIS LINE RESERVED FOR ZONING STAFF COMMENTS/CONDITIONS ONLY <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> Fee ReQ.' ' , <br /> y <br /> VI <br /> 6 <br /> m <br /> N <br /> O <br /> n <br /> Date of staff site visit: Initials of site visit staff: < o NZ z <br /> PERMIT APPROVED BY ZONING OFFICIAL: DATE: J �� Z -� <br /> mG)o <br /> Page 1 of 3 o Z (T7ll <br /> Burnett County, WI Land Use Application—Rev 03/2017 <br /> m <br /> a <br /> m <br />