2017/11/15 - LAND USE - LUP - Accessory Structure (Non-Bunkhouse)

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LAN JU U NE YL' KNV11 I AYYLIUA I WN — Burnett uounty, W 1 Permit Fees: Dwell in /Princi pal Building - Single Family $300 Addition to Dwelling/Principal Building - Single Family Dwelling/Principal Building - Multi -Family $300 Addition to Dwelling/Principal Building - Multi -Family $200 ComLaercial/Industrial Building $300 Addition to Commercial/Industrial Building $200 Accessory Structure(Non-Bunkhouse) Addition to Ace. Structure $150 Bunkhouse $250 Accessory Structure -Commercial (C1 & 11) $200 1 Addition to Accessory Structure -Commercial (C1 & 11) $200 Deck/Stairs/Patio/Retaining Wall/Sidewalk/Driveway & (Screen orches -in campgrounds only) $125 Gazebo (WI Stat 59.692(lv)) $350 Camping Unit $100 Filling/Grading $150 Permit Extension (Valid for one year - Only 1 Allowed) $100 Boathouse $500 *NOTE: After -the -fact (when no permit is obtained prior to construction) is up to three times the normal fee. *Communication Towers & Signs require a different application form, see corresponding application and fees. *Items not listed above will be treated as accessory structures, such as: pergolas, landscaping, etc. Applicant Complete All Sections Below This Line Applicant's Name: TUN q_ I 6CH'YL NK T -Z. Applicant's Mailing Address 62—�;l W, 6A1kx W LJL 1)9- L#,& W 5cL14 City State Zip �-7 Applicant's Telephone Number: (o L, L?D — 9'7 1(a Applicant's Email: �0 611J. � d f ki fZ � MCt 1 co If staff has a question about this application how do you prefer to be contacted? Check one below. ❑Letter Phone ❑Email Legal Description: J /3IT `fQ& IqW LAA- AY_kQjZ11r 13EPOt SLl13b1V'1S1CW Lprs Lot #: _ CSM Vol. Pg. OR 11 12- 8LK Lot #: Block #:4 Subdivision Name: L _Mckf JZ1Z 60 f OR Gov't Lot #: OR 1/4 1/4 Section #: Town #: N Range #: W Town of: 30-0 Tr *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* Parcel # (24 digits): Tax ID # (1-5 digits): / 90 G76 Property Site Address: a_� kALI Nb hk_ 51300NF.k_ . 01 TYPE OF PERMI T(S): Check appropriate box/ boxes ❑ Single Family Dwelling ❑ Multi -Family Dwelling ❑ Filling/Grading ❑ Commercial Building ❑ Single Family Addition ❑ Multi -Family Addition ❑ Deck/Patio ❑ Commercial Addition ❑ Stairs ❑ Acc. Structure (Non -bunkhouse) ❑ Bunkhouse ❑ Commercial Acc. Structure ❑ Permit Extension ❑ Gazebo — WI Stat 59.692(l v) ❑ Camping Unit ❑ Commercial Acc. Addition ❑ Boathouse ❑ Screen porch — campgrounds only ❑ Retaining Wall ❑ Sidewalk/ Driveway Proposed Structure/Addition Use: 6NZACti` ; (Horne/Cabin; Commercial Business; Bedroom; Deck; etc.) Building Contractor: Master Plumber: Anticipated Start Date: DLl LFIL8Y 4 CIVIla 191\ D &A RCS C.Ur\151"6 704 :�D 18 Page 1 of 4 Burnett County, WI Land Use Application — Rev 3/2016 a �c s YY4^ a 5 Z rE rte+ O f