Laserfiche WebLink
LAND USE PERMIT APPLICATION - Burnett County, WI c ro <br /> E7 I.4 <br /> Applicant Complete All Sections Below This Line 5' <br /> CD I <br /> Permit Types and Fees:(Please,check appropriate boxes) a. <br /> Dwelling/Principal Structure $300 _Addition/Alteration to Dwelling/Principal Structure $200 <br /> (17' N <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 <br /> ,,0 Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 N. <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 Al <br /> b" <br /> N(, Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 , <br /> Filling/Grading $150 Boathouse $500 r r <br /> 0 <br /> Six Month Camping Unit(One Per Year) $100 Permit Extension(1 Year Extension-Allowed Once) $100 1 <br /> c4 <br /> *NOTE:After-the-fact permits(permit aqui red after construction has begun)may cost up to three times the normal fee. P <br /> *Communication Towers&Signs require a different application form;see corresponding application,and fees. „.,. . <br /> ees. . <br /> s.*Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. ` <br /> II r g 1 <br /> Property Owner's Name: /o V\ € Q. C©IO c)((c)(( ° . <br /> Property Owner's Mailing Address: (F o &(,/�4 V.,\. io(Ar->i 1 5V830 g • <br /> ��� � f // City State Zip <br /> Property Site Address:1 Cd( U. , F. <br /> E <br /> Contact's Telephone Number:at g 8 O3 El o <br /> • <br /> cD <br /> Contact's Email: Ot�2.JiaC I Q SO to y(;F V1�t Com ..d <br /> F. <br /> Legal Description of Pro eery: L ( Olf L0 4 a. ` <br /> #:uy Range#: C�j W Town of:Oa `Q vd N <br /> Section#: To - °G <br /> 5 <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): 1' 4 8 cj <br /> Proposed Use of Structure/Addition: e.,C k / C a(Z1'o Ri ”' <br /> Anticipated Start Date: (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) o x <br /> 0 <br /> Building Contractor: Sewer Installer: 1 <br /> a <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY " W <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 S ' <br /> ANY construction taking place for any dwellings,dwelling additions,manufactured homes,manufactured z <br /> home additions,and bunkhouses.** Po _ <br /> 6 TA I's pe . ,' i5 - e ado cleaS mK 7'4e % uSe- Q141 <br /> aGarfier <br /> OP Carperi- 2es ii 71" w+e ' rcav' 5ell3cfc, exone•Y' <br /> C1 Cj r'e_G S j porde 5, LA)I!' 4::1e- C.10 I."to I ! z Fee Rec:o27 J-g) <br /> © C4 r IIID* 7/15, be. used 4Y' Auwwn 1;j,7'��r®r1. = Check#: 131,4,...2 <br /> v <br /> rr <br /> I ate of staff site visit: 7/i <br /> /2JO L/ Initials of site visit staff: itZ-- o <br /> m <br /> APPROVED BY LAND SERVICES OFFICIAL: DATE: 7/72JZ'/ w <br /> m <br /> UPON APPROVAL: APP/LICANT MUST POST COPY OF r w W <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT <br /> r 0 co C <br /> NO <br /> Transcendent: - Page 1 of 4 n ``� <br /> Laserfische: - Burnett County, WI Land Use Application-Rev 12/2020 < 2 f <br /> ra <br /> oCA <br /> Ir l <br /> 3 <br />