Laserfiche WebLink
LAND USE PERMIT APPLICATION — Burnett County, WI <br /> • .o <br /> cl, NI <br /> Applicant Complete All Sections Below This Line j <br /> Permit Types and Fees:(Please,check appropriate boxes) ' - c' 1 <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 e <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150a y <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 "c <br /> veDeck/Stairs/Patio/Retaining Wall/Sidewalk __Bunkhouse $250 n '\ <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 9 <br /> -illmg/Grading $150 Boathouse $500 ro <br /> Six Month Camping Unit(One Per Year) $100 Permit Extension(1 Year Extension-Allowed Once) $100 <br /> vi <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. I b <br /> r 7 • 1 +777"' <br /> 11 "` <br /> Property Owner's Name: J' e\ a ri rd�e .-' Voi1 h� _ o <br /> Property Owner's Mailing Address: ii 2.6 povard Acevpie.P121`i M 4 9-35 <br /> n r CityState lip o <br /> Property Site Address: G-6002' *I I1 hf ti) Vit ij'jj W 1 5+693 s t <br /> Contact's'telephone Number: (Q a 24 cQ J�-' o <br /> Contact's 1 ivail: Q,6003 @ )yam I) .(.�J _ <br /> I o <br /> Legal Description of Property: .O-1< I I14 161/111#1" 6161 M4I''h 017 TO V`j et"h1 ' <br /> Section#: 2 Town#: 40 N Range#: Town of 0 3-04, °_ <br /> 5' <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach lay system property page.* 0 <br /> Tax ID#(1-5 digit number;found on tax statement):_ (]S2-3 e 52,---- I� <br /> Proposed Use of Structur Addition: _ I " i11.4pr —I `-] <br /> Anticipated Start Late: (Home'Cabin:Commercial Business;Bedroom Deck;etc.) o <br /> x• - <br /> Building Contractor: a <br /> �Q, Sewer Installer: 1 <br /> _a <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY 70. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW:I fIkt'ff3 t fic ec/s to c{ttriac'i their 1.1AI O i ,ale!£ffmtr k'dje'wrothth lio:f/t'dfront rhei?7 (� <br /> 1 's?i s; tal,ing pia(elm..t m l/w,',rt . - :cm;fat ditfr?n+,inr=f;ff/aciatr q!hume,s.friahiuu<. 7. 3 <br /> imt infnkh/fuse.',, -- T <br /> 0 Ofteyek cki( Se a4 <br /> .r i <br /> �(,v <br /> Fee Rec: I,a <br /> Y2 Check#: aLE3 <br /> i../L:', <br /> . <br /> Date ofstaffsite visit( l 0ll I Initials ot' 'te visiti aff: r <br /> APPROVED BY LAND SERVICES OFFICIAL: / 4, DATE50W--/W--/ := ' <br /> UPON APPROVAL: APPLICANT ST POST COPY OF I C sp <br /> a IUUL <br /> SIGNED PERMIT APPLICATION IN PLAIN EA BEo <br /> ® w [rum <br /> lranscerulent: - Page 1 of d <br /> n Q 0 CT) <br /> jig S I <br /> iv <br /> aserfische: _ Burnett Burnett County, WI Land Use Application —Rev 12/2020 n <br /> tiC33 w <br /> t =, <br />