Laserfiche WebLink
LAND USE PERMIT APPLICATION - Burnett County, WIcr <br /> b <br /> Applicant Complete All Sections Below This Line °- <br /> CD I <br /> Permit Types and Fees:(Please,check appropriate boxes) C7W a <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 Q: rr(1�1 <br /> ` <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 , V' <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 g <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(ly)Structures $350 <br /> Filling/Grading $150 Boathouse $500 o <br /> Six Month Camping Unit(One Per Year) $100 Permit Extension(1 Year Extension-Allowed Once) $100 P <br /> *NOTE:After-the-fact permits(permit aqui red 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. <br /> Property Owner's Name: JC r, c I (y' i!, , ,..,.4 „ ,4 / Etri` z �' , <br /> o 0 <br /> Property Owner's Mailing Address: 2 /2/ ) 4 V'iv i,,,, f,-.. /./42 X'% 71.- o <br /> City State Zip <br /> Property Site Address: S� c 1 <br /> C <br /> Contact's Telephone Number: 7(7-- 17/7g - 7 yL% CN o <br /> /.f S'C VN n. It <br /> Contact's Email: j/A lni• e_ 5 ,ci/ c-d^► d N <br /> CD <br /> Legal Description of Property: �. <br /> ��� is � rz ,Ate ii �� ����, Al� ,,�,�� It <br /> Section#: Jr Town#: 3 i N Range#: f( W Town of: /11 r u no _ <br /> _ aq <br /> CM <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* C7 <br /> Tax ID#(1-5 digit number;found on tax statement): /,7 (9'5 <br /> Proposed Use of Structure/Addition: /✓C 6A r" <br /> O m <br /> Anticipated Start Date: Alin c iG (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) x <br /> Building Contractor: g ti/.,r / Sewer Installer: <br /> y <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY !t. tl , <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> **The applicant needs to contact their UDC Inspector to determine if a permit is needed from them prior to <br /> ANY construction taking place for any dwellings, dwelling additions,manufactured homes, manufactured z <br /> home additions,and bunkhouses.** <br /> 7(hee-- c,115ib S <br /> s Fee Rec: l�ocn <br /> l , ^ Check#: ( c si <br /> v v <br /> r/i <br /> Date of staff site visit: 2// 7/ 24 Initials/ site v' it sta : a <br /> J / z <br /> / o <br /> m <br /> APPROVED BY LAND SERVICES OFFICIAL: ',/(i j_ Ar1 DATE602 2 <br /> m <br /> Ril <br /> UPON APPROVAL: APPLICA �• UST POST COPY OF a (/) ., <br /> q � 3 z <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT z 5 a °III <br /> 00 c: <br /> Transcendent: Page 1 of 4tv a, <br /> Laserfische: - Burnett County, WI Land Use Application—Rev 12/2020 m a <br /> v .. <br /> E <br /> b <br />