Laserfiche WebLink
LAND USE PERMIT APPLICATION —Burnett County, WI a b <br /> Permit Fees: <br /> � ii <br /> Dwelling/Principal Building-Single Family $300 Addition to Dwelling/Principal Building-Single Famil $200 <br /> d <br /> Dwelling/Principal Building-Multi-Family $300 Addition to Dwelling/Principal Building-Multi-Family $200 g <br /> Commercial/industrial Building $300 Addition to Commercial/Industrial Building $200 <br /> Accessory Structure/Addition to Acc.Structure $150 Bunkhouse $250 <br /> Accessory Structure-Commercial Cl &Il) $200 Addition to Accessory Structure-Commercial(Cl &Il) $200 <br /> Deck/Stairs/Patios $125 i Gazebo WI Stat 59.692(ly) $350 o t <br /> Camping Unit $100 Filling/Grading Filling/Grading $150 »' <br /> Permit Extension Valid for one year-Only 1 Allowed $100 c <br /> *NOTE:After-the-fact(when no permit is obtained prior to construction)is three times the normal fee. rn <br /> *Communication Towers&Signs require a different application form,see corresponding application and fees. <br /> *Items not listed above will be treated as <br /> accessory structures,such as:pergolas, landscaping,retaining walls. <br /> 'o <br /> Li <br /> m <br /> licant Complete All Sections Below This Line �. <br /> � o <br /> Applicant's Name: SCY <br /> Applicant's Mailing Address:_ <br /> Citytater e Zip u <br /> l <br /> Applicant's Telephone Number: ^acyl <br /> I G 0 <br /> _ n c <br /> Applicant's Email: 1 rnJV ZV Zt Sim E� Q(,l M– UK d t <br /> If staff has a question about this application how do you prefer to be contacted? Check one below. <br /> ti <br /> ❑Letter ❑Phone mail N t <br /> 0 <br /> Legal Description: N <br /> Lot#: CSM Vol. Pg. OR o <br /> Lot#: Block#: Subdivision Name: OR <br /> Gov't Lot#: OR 1/4 1/4 F JW <br /> Section#: Town#: 91 N Range#:-19–_W Town of: 'if be <br /> *Attach additional page ifneededfor lengthy description OR attach a copy of the deed OR attach tax system property YPaBe. <br /> Parcel#(24 digits): C-0-034,1'31 'a-30-3 <br /> Tax ID#(1-5 digits): z <br /> po <br /> Property Site Address#: rvi1n <br /> t 74 <br /> Road Name: DUM, { b*b Z City: r7BJ 9§ <br /> TYPE OF PERMIT(S): Check appropriate box/boxes Fee Rec: C <br /> )075ingle Family Dwelling ❑ Multi-Family Dwelling ❑ Filling/Grading ❑ Commercial Building <br /> ❑ Single Family Addition ❑ Multi-Family Addition 3'Deck/Patio ❑ Commercial Addition y <br /> C7 f+r s <br /> ?1:5tairs ❑ Acc. Structure(Non-bunkhouse) ❑ Bunkhouse ❑ Commercial Acc. Structure N Q <br /> El Permit Extension ❑ Gazebo–WI Stat 59.692(ly) L3 Camping Unit ❑ Commercial Acc.Addition z <br /> y A <br /> Proposed Structure/Addition Use: ev <br /> (Name/Cabin;q0mmercial Business;Bedroom;D ck;etc.) � —:13 � sJ <br /> Building Contractor: q 0 <br /> 90 <br /> Anticipated Start Date: Z <br /> Page 1 of 4 0 <br /> Burnett County,WI Land Use Application—Rev 1/2016 <br /> z <br /> m <br />