Laserfiche WebLink
LAND USE PERMIT APPLICATION —Burnett County WI P d <br /> Permit Fees: o <br /> Dwelling/Principal Building-Sin le Family $300 Addition to Dwelling/Principal Building-Sin le Family $200 <br /> d <br /> Dwellin d rinal Building-Multi-Famil $300 Addition to Dwelling/Principal Building-Multi-Famil $200 � <br /> Commercial/Industrial Building $300 Addition to CommerciaVlndustrial Building $200 <br /> Accessory Structure/Addition to Acc.Structure $150 Accessory Structure or Bunkhouse $250 <br /> Accessory Structure-Commercial Cl &I1) $200 Addition to Accessory Structure-Commercial Cl &Il) $200 <br /> Deck/Stairs/Patios $125 Gazebo(WI Stat 59.692(lv)) $350 0 <br /> Camping Unit 1 $100 Filling/Grading $150 <br /> Permit Extension Valid for one year-Only l Allowed) 1 $100 0 <br /> *NOTE:After-the-fact(when no permit is obtained prior to construction)is three times the normal fee. J\7 <br /> *Communication Towers&Signs require a different application form,see corresponding application and fees. 2. <br /> *Items not listed above will be treated as accessory strnctures,such as:pergolas, landscaping,retaining walls. <br /> ro <br /> m <br /> Applicant Complete All Sections Below This Line o <br /> LL _ <br /> Applicant's Name: 1 i C, tyyh't' lPrc�o F•�;c. I zZ <br /> Applicant's Mailing Address: 3 f YiZ LV we%6 Lc,ti welobL;/Ce I S LfrR� — (/ <br /> City State Zip n05a <br /> Applicant's Telephone Number: I n 12 322—51?6 � P <br /> Applicant's Email: CLt'1 �"; e Qt0 �� /yl 1;I ,r F rr't r <br /> w <br /> If staff has a question about this application how do you prefer to be contacted? Check one below. w ' <br /> ❑Letter 53116one ❑Email <br /> N <br /> 11 <br /> Legal Description: 645 1 — 3' _�/ nc t; <br /> Lot#: CSM Vol. Pg. OR _d <br /> m <br /> 7 <br /> Lot#: / 3 Block#: Subdivision Name: %h�• F k�,Jai, /� Sri OR <br /> I <br /> Gov't Lot#: OR 1/4 1/4 0 1 <br /> ()) i <br /> Section#: 2 !7 Town#: ��N Range#: W Town of: Oe4 j1Cl)sl n 0( � <br /> *Attach additiona/page if neededforrlengthy description OR attach a copy of the deed OR attach tax system property page.* y 1 <br /> Parcel#(24 digits): 4119-1t,19 <br /> x <br /> Z <br /> Tax ID#(1-5 digits):Tr� [' H � <br /> N <br /> Property Site Address#: <br /> Road Name: rj ct (F aa A City: <br /> TYPE OF PERMIT(S): Check appropriate box/boxes Fee Rec-.3m <br /> ❑ Single Family Dwelling ❑ Multi-Family Dwelling ❑ Filling/Grading �.*ommercial Building <br /> ❑ Single Family Addition ❑ Multi-Family Addition ❑ Deck/Patio ❑ Commercial Addition <br /> ❑ Stairs ❑ Acc. Structure(Non-bunkhouse) ❑ Bunkhouse ❑ Commercial Acc. Structure N <br /> ❑ Permit Extension ❑ Gazebo—WI Stat 59.692(ly) ❑ Camping Unit ❑ Commercial Acc.Addition C <br /> n X �7 <br /> Proposed Structure/Addition Use: m U ti u <br /> (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) M <br /> Building Contractor: Ca ,Y� C%p4 Z O N 91 tit t1 <br /> 0 <br /> Anticipated Start Date: 2y"� �Z 11 tt u <br /> Page 1 4 <br /> Burnett County,WI Land Use Application—Rev 3/200 15 <br /> 9 <br /> m <br /> a <br /> m <br />