Laserfiche WebLink
LAND USE PERMIT APPLICATION-Burnett County, WI <br /> Applicant Complete All Sections Below This Line <br /> Permit Types and Fees:(Check appropriate box/boxes) <br /> o <br /> m <br /> Dwelling/Principal Building-Single Family $300 11 Addition to Dwelling/Principal Building-Single Family $200 V^o <br /> Dwelling/Principal Building-Multi-Family $300 Structural Alteration to Dwelling/Principal Buildings 5200 Q <br /> I E <br /> Commercial/Industrial Building $300 Addition to Commercial/Industrial Building $200 <br /> Accessory Structure(Non-Bunkhouse) $150 Addition to Accessory Structure $150 ` <br /> L) <br /> 0 <br /> Bunkhouse $250 Structural Alteration to Accessory Structure $150 < <br /> Accessory Structure-Commercial(Cl &11) $200 Addition to Accessory Structure-Commercial(Cl &I I) $200 r <br /> Deck/StairstPatio/Retaining Wall/Sidewalk/Driveway& Gazebo(Wl Stat 59.692(lv)) $350 w <br /> Campground Structures $125 Filling/Grading0ading $150 as <br /> Camping Unit(Six Months Per Year) $100 Boathouse $500 Z <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. g <br /> *Items not listed above will he treated as accessory <br /> structures,such as:pergolas,landscaping,etc. <br /> Property Owner's Name: �G{(iL // - `e, <br /> F /� /. 1 u <br /> Property Owner's Mailing Address: r/�0 60 `,r t03 by ✓16 I0� 0. <br /> �t y, C' State Zip o <br /> Property Site Address: I( �OV M• re //�► -/ <br /> Contact's Telephone Number: -715-73� ' od1/-// ( �h�Gr S <br /> Contact's Email: 11.4 d uco 116 0&4A Q//r ee� �_ l>l <br /> o t <br /> Legal Description of Property: I.Aml1 /uiCP Jf1bY2 A V. cl Wp-od ka/(Q �- <br /> Section#: 02, Town#: N Range#: W Town oE�(9 Crn�OJf/L_. <br /> 7�-1 <br /> ( v <br /> 0 <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* E <br /> Tax ID#(1-5 digit number;found on tax statep <br /> statement): a `151 l <br /> Proposed Use of Structure/Addition: 40rv-NjQ-- — f ?a 0��r -C t t'lp� W (� <br /> Anticipated Start Date: -77Z., . -Z-CW1 (Home/Cabin;Commercial Business;Bedroom:Deck:etc.) <br /> Building Contractor: Sewer Installer: <br /> y � V <br /> AREA BELOW THIS LINE RESERVED FOR ZONING STAFF COMMENTS/CONDITIONS ONLY \ <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> C �� S�C vcXvl �e U. r5 <br /> r Fee Rec <br /> �j `� T v <br /> 1 v <br /> m <br /> N <br /> O <br /> z <br /> z W <br /> f� <br /> y <br /> Date of staff site visit: ' I O ' Initials of site visit staff: o C �u- <br /> us <br /> 6 m z <br /> PERMIT APPROVED BY ZONING OFFICIAL: ' DATE: I I� :4 I <br /> O c c2 <br /> Page 1 of 3 8 C o <br /> Burnett County,WI Land Use Application-Rev 03/2017 <br /> m <br /> F <br /> m <br />