Laserfiche WebLink
r <br /> LAND USE PERMIT APPLICATION -Burnett County, WI a _ <br /> 7 v N <br /> Applicant Complete All Sections Below This Line c <br /> Permit Types and Fees:(Please,check appropriate boxes) o. <br /> p )1\ <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 V S <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration td Accessory Structure $150 • <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 ", <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 c (••('-r <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $5 0 o A, �^ <br /> Filling/Grading $150 Boathouse b `� <br /> Six Month Camping Unit(One Per Year) $100 Permit Extension(1 Year Extension-Allowed Once) $100 , r <br /> ;n <br /> *NOTE:After-the-fact permits(permit aquired after construction has begun)may cost up to three times the normal fee. 2. • <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. <br /> o <br /> , 1 8 � -e--7 O '1 Faendy/MA, §. o • <br /> S <br /> Property Owner's Name: yy�� 54,-,,,, <br /> `` ,/ ''Q,/ r^/ <br /> Property Owner's Mailing Address: ( b ,VOX /4 b��`V Y Y l 5 g ' <br /> City State Zip <br /> Property Site Address: 2.53/0 5f e--- 35 , <br /> < r v� <br /> ontact's Telephone Number: 7/5'377-P557, 0 <br /> a Elk <br /> Contact Email: rsrdab/eaW7' ai oc. <br /> Legal Description of Property: o <br /> Section#: 2sRange <br /> Town#: / N #: f W Town of: I z-517-1a� <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* p <br /> Tax ID#(1-5 digit number;found on tax statement): 33 0'0 (a <br /> Proposed Use of Structure/Addition: rnll�! J��171"Gf�� 3r. <br /> x <br /> Anticipated Start Date: eX/5►bfr1 ' (Horne/Cabin: <br /> e'Cabin:Commercial Business:Bedroom:Deck:etc.) <br /> Building Contractor: 2P WA Sewer Installer: / —i ! u•3 <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY I <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: --o <br /> *"The applicant needs to contact their UDC Inspector to determine if a permit is needed from them prior to W <br /> ,ANY construction taking place for any dwellings,dwelling additions,mz <br /> manufactured homes,manufactured V��IUU <br /> home additions,and bunkhouses."'" } <br /> 4, 1_ A4 H a 6e.V'— e -c4 q e a r <br /> 410 5 tidi4rer /49cao4H c p r ve 1" --1' Vff"Z1-' OS, <br /> 3 / //e o eta Var/irtt(.�- GOPiS454ba . to <br /> z Fee k 4.:ILL . <br /> 7 /Uayf 6G se% - � Au wiqii /74l0, ��0. Check#: <br /> � � o <br /> ni <br /> u�a91 I I ' ial g f site visit sta • <br /> Date of staff site visit: /�/ <br /> 7 t- <br /> 1 /'' i%� / 'Y�� a <br /> `Vl m <br /> APPROVED BY LAND SERVICES OFFICIAL: '• _ i DATE:56(2.i <br /> n <br /> UPON APPROVAL: APPLIC i' ', 1'/0 ST POST COPY OFcn r- <br /> mi a IM <br /> 13. <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT . 3 JO <br /> Transcendent: - Page 1 of 46 co <br /> m = r..5 <br /> Burnett County,WI Land Use Application—Rev 12/2020 < r0 <br /> Laserfische: <br /> a <br /> awt <br /> I `� <br />