Laserfiche WebLink
LAND USE PERMIT APPLICATION - Burnett County, WI a <br /> No <br /> Applicant Complete All Sections Below This Line °a <br /> CD I <br /> Permit Types and Fees:(Please,check appropriate boxes) °' <br /> d G.1 <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 LX) <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 `� <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 CO <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 P) <br /> ) Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 '\.. c. <br /> I0 <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(ly)Structures $350 °G� N ^� <br /> Filling/Grading $150 Boathouse $500 r- Q0 PP <br /> Six Month Camping Unit(One Per Year) +� <br /> p' g $100 Permit Extension(1 Year Extension Allowed Once) $100 ,-... <br /> cn <br /> *NOTE:After-the-fact permits(permit aquired after construction has begun)may cost up to three times the normal fee. IIIP <br /> *Communication Towers&Signs require a different application form;see corresponding application,and fees. w , <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. <br /> Property Owner's Name: all /I. / •' ' _ - <br /> Property Owner's Mailing Address: / 12 / V/ ( 17Jt/a c' 14 l'fe l(Jk'/a rfin o <br /> City, Stateo Zi _ <br /> Property Site Address: „97 5- 53Q S, /-_, /I Wf/DJi /� �i bs' 7 AL <br /> ..9,3 ( F� <br /> Contact's Telephone Number: � 2-27e- L-12111 5L1 ?� / o c G <br /> n. <br /> Contact's Email: j hECnecSog-7 `gma 1. eD 2 d <br /> iT <br /> Legal Description of Property: I_•U / .S/y) V 2t' P(�/ ( 36 / j)/�e b <br /> Section#:S 2 e Town#: T.73, N Range#: e/4o W Town of: 11'y11'y0i7orf (3 W N <br /> °C <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* <br /> d <br /> Tax ID#(1-5 digit number; found on tax statement): /e.,q/541 <br /> Proposed Use of Structure/Addition: / 0 h' / 0 Di ci /r IVA 0 c1 /dab "' <br /> Anticipated Start Date: --AM" ZZ I (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) ' <br /> Building Contractor: hefrrki (2 OJae Z Sewer Installer: a d <br /> .-3 ! ..---.. <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <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 ,•,—t_ <br /> ANY construction taking place for any dwellings,dwelling additions,manufactured homes,manufactured z <br /> home additions, and bunkhouses.** i i :n <br /> al Q. li r04- -e4 ? b ' S P <br /> 361Atirle62.71 <br /> x Fee Rec: l Zs <br /> vCheck-37 <br /> II-7 <br /> Date of staff site visit:KJ 6 ` 1 12' Initials ,', site vi • staf • <br /> 1 ri, ► , C <br /> APPROVED BY LAND SERVICES OFFICIAL: *` /� DATE: b /v / I � < �� <br /> l= A a 4._ <br /> UPON APPROVAL: APPLICA ,.- UST POST COPY OF a II z <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT z o g i G <br /> N <br /> Transcendent: - _ Page 1 of 4to, C3 C <br /> Laserfische: Burnett County, WI Land Use Application—Rev 12/2020 <br /> .►� <br /> 3 <br /> CAa <br /> 3 <br /> b <br />