Laserfiche WebLink
LAND USE PERMIT APPLICATION—Burnett County, WIcr <br /> Applicant Complete All Sections Below This Line 5 CD Ic <br /> Permit Types and Fees:(Please,check appropriate boxes) f <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 d ( <br /> eD <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 `'' ' <br /> , � <br /> V Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 ,� FO <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 <br /> V Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 °< t ' <br /> .*--(t <br /> Filling/Grading $150 Boathouse $500 0 <br /> o <br /> Six Month Camping Unit(One Per Year) $100_ Permit Extension(1 Year Extension-Allowed Once) $100 ; <br /> cn*NOTE:After-the-fact permits(permit aquired after construction has begun)may cost up to three times the normal fee. g <br /> *Communication Towers&Signs require a different application form;see corresponding application,and fees. i g <br /> *items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. CD <br /> rp. <br /> T!I <br /> Property Owner's Name: OOOZf ,qvvj TRAC2 ay,?L�os oz ` <br /> Property \wner's Mailing Address: �'a.'f 7 SPAnJGQEPG 40 LJEgs7 toaz ST03 3 8 <br /> n^ City` State Zip o • <br /> Property Site Address: 2I7 SA QE.eir r tom)£'$7 a, c,4 sleet?e7> o. ren <br /> Contact's Telephone Number: 7?./0 ,$'f 7 o2-4 li 0 F 1 <br /> c <br /> Contact's Email: -ilk b ue4 j rr.a:/ . co-, I.''-', <br /> P <br /> Legal Description of Property:A parte 1 o T hid iv. 44 Ni a. ✓ d fle ,& J 4,0..40; N 'e b <br /> Section#: (O Town#: 31 N Range#: /7 W Town of: °AN I EL S <br /> a r <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* <br /> fr/ <br /> Tax ID#(1-5 digit number;found on tax statement): /1 73 6. <br /> Proposed Use of Structure/Addition: 614,9 /wwk.S4o/P 7t— D.IC "' <br /> Anticipated Start Date: 7/2O/21 (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) (�`/ <br /> 1 y x <br /> Building Contractor: M.d„40 "44 tiw•\ Sewer Installer: 4 `! <br /> AREA BELOW THIS LINE FOR LAND SER ICES STAFF COMMENTS/CONDITIONS ONLY 14 <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: IP <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.** 7d <br /> PI°A <br /> ce.r halm halm+ <br /> Fee ReA) -7J• <br /> / a Check#:(ctjh <br /> Date of staff site visit: 7/1511�I Initials of si visit staff: - e <br /> APPROVED BY LAND SERVICES OFFICIAL: r //� DATE:7/14/ / ,� <br /> /// m <br /> E <br /> UPON APPROVAL: APPLICANT ' • UST POST COPY OF74 � "...as <br /> c.SSIGNED PERMIT APPLICATION IN PLAIN SIGHT . 9 o a <br /> 00 <br /> Transcendent: - Page 1 of 4 11211 <br /> Laserfische: - Burnett County,WI Land Use Application—Rev 12/2020 < 0 = a <br /> rn d — <br /> nn0 ' <br /> a <br /> b Q <br />