Laserfiche WebLink
LAND USE PERMIT APPLICATION — Burnett County, WI a _ <br /> < <br /> y r <br /> Permit Fees: 0 a �n <br /> Dwelling/Principal Building-Single Family $300 Addition to Dwelling/Principal Building-Single Family $200 C7 <br /> Dwelling/Principal Building-Multi-Family $300 Addition to Dwelling/Principal Building-Multi-Family $200 <br /> Commercial/Industrial Building $ 0 Addition to Commercial/Industrial Building $200 O <br /> Accessory Structure/Addition to Acc.Structure unkhouse $250 <br /> m <br /> Accessory Structure-Commercial Cl &II) 200 Addition to Accessory Structure-Commercial(Cl &I I) $200 <br /> Deck/Stairs/Patios $125 Gazebo WI Stat 59.692 lv) $350 0 <br /> Camping Unit $100 Filling/Grading $150 <br /> r <br /> Permit Extension Valid for one year-Only 1 Allowed $100 ° <br /> *NOTE:After-the-fact(when no permit is obtained prior to construction)is three times the normal fee. m <br /> w <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. 2 <br /> -o <br /> m <br /> Applicant Complete All Sections Below This Line o . <br /> 0 <br /> Applicant's Name: (a <br /> Applicant's Mailing Address: <br /> city State tp b <br /> Applicant's Telephone Number: 41 <br /> e <br /> a <br /> Applicant's Email: -L-�,CA�C`b e.c� <br /> w <br /> m <br /> If staff has a question about this application how do you prefer to be contacted? Check one below. I <br /> ❑Letter HIPhone ❑Email \ c °C U,) <br /> Legal Description: oma NVA \,G t��ac�� ``o� .� c,Yj�� • <br /> Lot#: o�rj CSM Vol. Pg. OR W o <br /> Lot#: Block#: Subdivision Name: OR <br /> t <br /> Gov't Lot#: OR 1/4 1/4 _ F <br /> Section#: Town#: N Range#: W Town of: <br /> *Attach additional page if neededfor lengthy description OR attach a copy of the deed OR attach tax system propertypage.* l <br /> Parcel#(24 digits): <br /> Tax ID#(1-5 digits): z <br /> Property Site ddress#: �� I <br /> Road Name: �- (4 0 City: <br /> � nh <br /> TYPE OF PERMIT(S): Check appropriate box/boxes Fee Rec:a wr <br /> ❑ Single Family Dwelling ❑ Multi-Family Dwelling ❑ Filling/Grading ❑ Commercial Building s <br /> (Single Family Addition ❑ Multi-Family Addition ❑ Deck/Patio ❑ Commercial Addition a - <br /> ❑ Stairs ;Fmr Acc. Structure(Non-bunkhouse) ❑ Bunkhouse ❑ Commercial Acc. Structure m <br /> ❑ Permit Extension ❑ Gazebo—WI Stat 59.692(ly) ❑ Camping Unit ❑ Commercial Acc.Addition z C <br /> Proposed Structure/Addition Use: \moo <br /> (Home/Cabin;Commercial Business;Bedroom;Deck CJ��li <br /> O Z <br /> Building Contractor: Z n N o <br /> Anticipated Start Date: <br /> Page 1 of 4 0 <br /> Burnett County,WI Land Use Application —Rev 4/2015 <br /> 3 <br /> v <br /> x <br /> m <br /> a <br /> m <br />