Laserfiche WebLink
LAND USE PERMIT APPLICATION — Burnett County, WI t. i b <br /> Applicant Complete All Sections Below This Line 0' 1 <br /> Permit Types and Fees:(Please,check appropriate boxes)' = i <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 W O <br /> )( Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 <br /> ND <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 i `\ <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 : <br /> Filling/Grading $150 Boathouse ,$500 <br /> Six Month Camping Unit(One Per Year) $100 _ Permit Extension(1 Year Extension-Allowed Once) j$100 <br /> 5 <br /> *NOTE:After-the-fact permits(permit aquired after construction has begun)may cost up to three times the normal fee. <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,etc. r--. P , <br /> 0 <br /> '- <br /> Property Owner's Name: n p Wi,cs . rt=+ G Y\ ° , <br /> / <br /> Property Owner's Mailing Address: 244;9 I'tivtG Kr1drC(eaQ K6tc,c( w 5i/ <br /> City J State Zip 5' <br /> Property Site Address:,2/0P t p e- Kµo-f-( p.c.. D 0..,b i / wZ ,S4'Pic" 1^ <br /> Contact's Telephone Number: 95,2- gL Ia, -64, gt c1 a <br /> Contact's Email: 1',./-1--r e ('p coty, <br /> Legal Description of Property: )S'� ff,,jot P,A t. K o h( S I t B 0 I V L O 7' 7 12/A. ., <br /> Section#: OS" Town#: 4 p N Range#: /4 W Town of: S c o f`F <br /> 0 <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): 19 2.c.)""7 c, <br /> zi <br /> Proposed Use of Structure/Addition: �—)c.Co,S e o <br /> Anticipated Start Date: Apt-; 1 I / ,7 0 2.. I J (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) V <br /> Building Contractor:9Meti`ca vi S'F?cl Ca po rt5 Sewer Installer: ,/v//f C1. - <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: Q <br /> Ido i- exceed 40 �te,q h� z v <br /> v <br /> i <br /> Jo'- c/ 6/444 ba b;d- 0/11 <br /> I1 <br /> 06 <br /> x '� <br /> Fee Rec: ( <br /> Check#: 15-is k <br /> 6 <br /> Date of staff site visit: 3 111)1 Initials of site visit staff: 14 L. <br /> APPROVED BY LAND SERVICES OFFICIAL: °L , ///z/// DATE:, /«la/ ;- ' <br /> UPON APPROVAL: APPLICANT e��ST POST COPY OF j � _.__x. C-711 <br /> w1 N <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT .m ' ; <br /> 0o <br /> Transcendent: Page 1 of 4m cNo <br /> Laserfische: K <br /> Burnett County,WI Land Use Application—Rev 1/2019 w [ j•rn <br /> 1 <br />