Laserfiche WebLink
'LAND USE PERMIT APPLICATION— Burnett County, WI g <br /> <• ro <br /> Permit Fees: <br /> a <br /> DwellinglPrincipal Building-Single Family $300 Addition to Dwelling/Principal Building-Single Family $200 C <br /> Dwellin Princi al Building-Multi-Family $300 Addition to Dwelling/Principal Building-Multi-Family $200 <br /> Commercial/Industrial Building $300 Addition to Commercial/Industrial Building $200 Ln <br /> Accessory Structure/Addition to Acc.Structure Bunkhouse $250 1 <br /> rVl, <br /> Accessory Structure-Commercial(Cl &II $200 1 Addition to Accessory Structure-Commercial CI &Il) $200 <br /> Deck/StairsiPatios M5Q Gazebo(WI Stat 59.692(lv)) $350 c <br /> Camping Unit $100 Filling/Grading $150 <br /> Permit Extension Valid for one year-Only 1 Allowed) $100 <br /> 0 <br /> *NOTE:After-the-fact(when no permit is obtained prior to construction)is three times the normal fee. a <br /> *Communication Towers&Signs require a different application form,see corresponding application and fees. <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,retaining walls. — <br /> ro <br /> Applicant Complete All Sections Below This Line . <br /> Applicant's Name: ��o Astv <br /> Applicant's Mailing Address: 13J 5o 5g007 <br /> _ City State zip 60 <br /> Applicant's Telephone Number: 105r 7- a9Y7 rnC <br /> .� <br /> a y <br /> _ a <br /> Applicant's Email: 4/l>•t 11CtskS C 10-W e Q yn o <br /> m <br /> If staff has a question about this application how do you prefer to be contacted? Check one below. <br /> ❑Letter hone WjEmail <br /> Legal Description: O QL K . <br /> Lot#: _CSM Vol. Pg. OR o 1 <br /> N <br /> A <br /> Lot#: Block#: Subdivision Name: OR r„ <br /> Gov't Lot#: OR 1/4 1/4 o <br /> Section#: o?10 Town#:—W_N Range#: W Town of: w,C3 1 <br /> *Attach additional a e i needed or lengthy description OR attach a co o the deed OR attach tax system ro er a e.* y <br /> P g f ,l• g Y P / PY .f Y P P h'P g i <br /> Parcel#(24 digits): D�—rib 3 a - ' �[ �r%p a$ s ^1.5 - /(e 0 <br /> Tax ID#(1-5 digits): Ot' 3 <br /> Property Site Address*t•_s1 6. <br /> Road Name:N �7 k'tkC City: -D&X �S• <br /> TYPE OF PERMIT(S): Check appropriate box/boxes Fee Rec:�o <br /> ❑ Single Family Dwelling ❑ Multi-Family Dwelling ❑ Filling/Grading ❑ Commercial 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(Sv) ❑ Camping Unit ❑{ Commercial Acc.Addition Z C <br /> Proposed Structure/Addition Use: 01 Yu /aD in A); > N Z <br /> `I (HomelC�abiinn;Commercial Business;Bedroom;Deck;etc.) Q <br /> Building Contractor: o ev <br /> �( N <br /> Anticipated Start Date: $ *r b t ,�'��(o m C o—�, <br /> u trU <br /> Page 1 of 4 m c <br /> Burnett County,WI Land Use Application-Rev 1/2016 <br /> b <br /> m <br />