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LAND USE PERMIT .A ICATI N raWCo a� W1 <br />andFees; <br />'Dwelling/Principal Building - Single Family <br />S300 <br />Addition to Dwelling/Principal Building - Single Family <br />$200 <br />Dwelling/Prineipal Building- Multi -Family <br />$380 <br />Structural Alteration to DwIlingtPrincipal Buildings <br />$2 <br />Co mmerciallindustrial Wicking <br />$300 <br />lAddition to Commercial industrial Building <br />$200 <br />Accessory Structure(Non-Bunkhouse) <br />51 <br />Addition to Accessory Structure <br />$150 <br />Bunkhouse <br />$258 <br />Stnxtusal Alteration to Accessory Structure <br />$150 <br />Accessory Structure -Commercial (Cl & Ii) <br />80 <br />JAddition to Accessory Structure -Commercial CI &11) <br />$200 <br />i�ecic(StshsJPiaang8llJSideukfku <br />Campground Structures <br />$125 <br />Gazebo (WI Stat 59.592(1 v)) <br />Fillin g <br />5350 <br />$150 <br />Camping -Unit (Six Months -Per Near) <br />Me <br />twathouse <br />$300 <br />Permit Extension (Valid for one year - Only I Allowed) 5180 11 <br />1 <br />*NOTE: After -the -fact (when no permit is obtained prior to oonsttuetion) is up to three times the normal fee. <br />*C _ _ . Towm A SiSm ua'e a sm aer�eap osd�g es;tnd,�ws. <br />Property Owner's. i DbJiL�j�fi - �t-�1+Au5E� <br />OwnwsA+laiInlgAdd ss: �9C% GtJ. S 6y�'3o <br />City State Zip <br />Property Site Address: $S q0 W. &0rC 4A _r 404D <br />Contact's Telephone Number: S 3 A — 4,31-7 <br />Contact's Email: 4/0 V`++ <br />a <br />legal Description of_ Property:_ <br />Section #: Town #: N Range #: W Town of.. 7 <br />*attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page. <br />Tax ID # (1-5 digit number; found on tax statement): n <br />Proposed Use of Structure/Addition: %SFr t[i� �a,:Tra1) l� •m k h�i use <br />Anticipated Start Date:—q/ Ij -7 (Home/Cabin; Commercial Bustness; &droom; Deck; etc.) <br />Building Contractor: F Sewer Installer: N1A <br />THIS. PERMIT IS. SUBJECT TO ALL. CONDITIONS. LISTED BELOW: <br />Date Qfstaff site visit: Initiah of site Yisitste� <br />D4 <br />PERMIT APPROVED BY ZONING OFFICIAL: ---- )4—DATE: ?—S ` <br />PaW 1 of 3 <br />Burnett County* WI Land Use Application — Rev 03/2017 <br />Fee Rec: <br />H <br />0M <br />0 <br />r <br />C <br />z <br />HJ <br />