Laserfiche WebLink
Gn <br /> LAND USE PERMIT APPLICATION - Burnett County, WI a 9 b <br /> w l�w N <br /> Applicant Complete All Sections Below This Line <br /> Permit Types and Fees:(Check appropriate box/boxes) ° <br /> Dwelling Principal Building-Single Family $300 Addition to Dwelling/Principal Building-Single Family $200 \V� <br /> Dwelling/Principal Building Multi-Family $300 Structural Alteration to Dwelling/Principal Buildings $200 rn EO 1 <br /> Commercial/Induarial Building $300 Addition to Commercial/Industrial Building $200 <br /> • Accessory Structure(Non-Bunkhouse) $150 Addition to Accessory Structure $150 1 <br /> n m <br /> Bunkhouse $250 Structural Alteration to Accessory Structure $150 < \v <br /> Accessory Structure-Commercial(Cl &Il) $200 Addition to Accessory Structure-Commercial(Cl &11) $200 c <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk/Driveway& Gazebo(WI Stat 59.692(lv)) $350 w <br /> Campground Structures $125 Filling/Grading $150 <br /> Camping Unit(Six Months Per Year) $100 Boathouse $500 v <br /> Permit Extension(Valid for one year-Only 1 Allowed) $100 5 ` <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. o <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. n <br /> C 9 <br /> Property Owner's Name: / e-t`► �, (iV t S I r 3 `z <br /> Property Owner's Mailing Address: Y `( BN S o-e/ W t b 64;TSY b'y 3 no <br /> CL <br /> City State Zip p <br /> Property Site Address: S9 x y 3 to f h c t R141rAtt <br /> Contact's Telephone Number: --715- 553 - /// <br /> 5' <br /> Contact's Email: +c rr., w?I so r Ogi I;7 ®q w�i I . r�✓'� p <br /> Legal Description of Property: <br /> Section#:j_Town#: N Range#:A0_ _W Town of: Oct kl a v%4 <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* 1 <br /> Tax ID#(1-5 digit number;found on tax statement): Z SO 7 --I <br /> Proposed Use of Structure/Addition: 6:-Ar <br /> Anticipated Start Date: S— :� -a c,,17 (Nome/Cabin;Commercial Business;Bedroom;Deck;etc.) X <br /> Building Contractor: 140 "4 o wr -r Sewer Installer: /✓�� z <br /> y <br /> AREA BELOW THIS LINE RESERVED FOR ZONING STAFF COMMENTS/CONDITIONS ONLY <br /> THISPERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> %O/a✓e l �f r <br /> Fee Rec:1Z. <br /> x <br /> y <br /> CN <br /> O <br /> m <br /> C <br /> Chi C <br /> Date of staff site visit: S? /7 Init' t of site visi taff: � N m n <br /> PERMIT APPROVED BY ZONING OFFICIAL: 2DATE: 5-a"/ 7 Z0 <br /> G)o o <br /> Page 1 of 3 0 <br /> Z Crin <br /> Burnett County,WI Land Use Application—Rev 03/2017 <br /> 3 <br /> s <br /> x <br /> m <br /> A <br /> m <br />