Laserfiche WebLink
LAND USE PERMIT APPLICATION—Burnett County, WI a " r <br /> Applicant Complete All Sections Below This Line 5* c <br /> Permit Types and Fees:(Please,check appropriate boxes) a' �1 <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 d <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 0 <br /> X Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 <br /> ul <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 ;; <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 ,. Q\ <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 c p�__ <br /> 03 <br /> Filling/Grading $150 Boathouse $500 0 �N ,� <br /> Six Month Camping Unit(One Per Year) $100 Permit Extension(1 Year Extension-Allowed Once) $100 S <br /> *NOTE:After-the-fact permits(permit aquired after construction has begun)may cost up to three times the normal fee. <br /> *Communication Towers&Signs require a different application form;see corresponding application,and fees. ,$ ` <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. co <br /> o d <br /> Property Owner's Name:Brian And Dorothy Nelsen z , <br /> Property Owner's Mailing Address: 3137 Spring Green CT. scop WI 54830 o <br /> City State Zip .cs hit <br /> Property Site Address:3137 Spring Green CT. la n <br /> vi P <br /> 4 <br /> Contact's Telephone Number:952-239-5943 o 5 <br /> i <br /> brian ntrowaters orts.com rpa <br /> Contact's Email: @ p 2 cis <br /> v <br /> Legal Description of Property: QA <br /> N b <br /> Section#: Town#: N Range#: W Town of: I° ° <br /> a <br /> *Attach additional page if needed for lengthydescription OR attach a copy of the deed OR attach tax system propertyPaSe.* <br /> C7 <br /> 4 <br /> Tax ID#(1-5 digit number;found on tax statement): <br /> Proposed Use of Structure/Addition: Storage of recreational items <br /> Anticipated Start Date:June 2021 (Nome/Cabin;Commercial Business;Bedroom;Deck;etc.) s <br /> Building Contractor:Home Owner Sewer Installer: f, Id <br /> y <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY 03 <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: 1 <br /> **The applicant needs to contact their UDC Inspector to determine if a permit is needed from them prior to <br /> ifi <br /> ANY construction taking place for any dwellings,dwelling additions,manufactured homes,manufactured <br /> home additi ns,and bunkhou es. <br /> 11/04 �r harn4n habt o;'cl) <br /> °° <br /> RI Fee Rec: I ) l <br /> c4 Check HA #:(i y <br /> Date of staff site visit: G/1 y 1)-t Initials o site visit$ta • z <br /> • <br /> m <br /> APPROVED BY LAND SERVICES OFFICIAL: A AI / ,i /' DATE:Mb/ <Fi iv <br /> UPON APPROVAL: APPLICA T ��� ST POST COPY OF T G E m (W <br /> �3 Z <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT z o w Ilia <br /> Transcendent: - Page 1 of 4 �,c N <br /> Laserfische: - Burnett County, WI Land Use Application —Rev 12/2020 < 8 INO <br /> a <br /> i <br /> b <br /> 1 <br />