Laserfiche WebLink
LAND USE PERMIT APPLICATION - Burnett County, WI a' r <br /> r <br /> a <br /> - a• _ b <br /> Permit Fees: I a� <br /> a <br /> Dwelling/Principal Building-Single Family $300 Addition to Dwelling/Principal Building-Single Family $200 O <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 <br /> Accessory Structure(Non-Bunkhouse) <br /> Addition to Ace.Structure $150 Bunkhouse $250 no <br /> Accessory Structure-Commercial CI &11) $200 Addition to Accessory Structure-Commercial Cl &11) $200 <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk/Driveway& ° <br /> (Screen orches-in campgrounds only) $125 Gazebo W1 Stat 5 9.692(1 v)) $350 r <br /> Cam in Unit $100 Filling/Grading $150 ° <br /> Permit Extension Valid for one year-o 1 Allowed) $100 Boathouse $500 <br /> w <br /> a <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. ro <br /> *Items not listed above will be treated as accessory structures,such as:pergolas, landscaping,etc. r <br /> 0 <br /> (, Applicant Complete All Sections Below This Line z <br /> Applicant's Name: Mo,rk o,f/I d ut- Tyoyyi <br /> Applicant's Mailing Address: 3aa 1 rJ I r WI K(�ll SPoo vie W I 5494DI b <br /> �7 (fin City State Zip <br /> PP P I I"J - I&- -fma o " <br /> Applicant's s Tele hone Number: / <br /> Applicant's Email: we i m <br /> w <br /> If staff has a question about this application how do you prefer to be contacted? Check one below. � \ <br /> ❑Letter Pfhone031fmail 5 <br /> Legal Description: Sl: SW 30 SQ ILW t <br /> Lot#: CSM Vol. Pg. OR <br /> Lot#: Block#: Subdivision Name: OR o <br /> F <br /> Gov't Lot#: OR /� 1/4 1/4 ° <br /> Section#: J Town#: 3-I N Range#:�W Town of: �U Sk ( � <br /> *Attach additional page if needed for lengthy description OR attach a2copy of the <br /> ldeed OR attach tax system property page.* V <br /> Parcel#(24 digits): <br /> Tax ID#(1-5 digits):_ I IU O��(O y X <br /> Property Site Address:3OM I eial 9A Saoonert w l rr` <br /> got <br /> s <br /> TYPE OF PERMIT(S): Check appropriate box/boxes Fee Re e <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 <br /> ❑ Permit Extension ❑ Gazebo-WI Stat 59.692(ly) ❑ Camping Unit ❑ Commercial Acc.Addition OD ��—J/sC1 <br /> ❑ Boathouse ❑ Screen porch-campgrounds only ❑ Retaining Wall ❑ Sidewalk/Driveway C FIR^ <br /> Proposed Structure/Addition Use: How r 1 L N M <br /> (Name/Cabin;Commercial Business;Bedroom;Deck;etc.) <br /> Z <br /> I_ 1 .P <br /> Building Contractor: Joh h Uoi Soil Master Plumber oJelrn4z No �^ <br /> Anticipated Start Date: I I I I I'�y dbe Z rn 11 t1 u <br /> Page 1 of 4 <br /> Burnett County,WI Land Use Application—Rev 3/2016 --� <br />