Laserfiche WebLink
LAND USE PERMIT APPLICATION — Burnett County, WI r <br /> Z. <br /> a <br /> Applicant Complete All Sections Below This Line 6' c <br /> Permit Types and Fees:(Please,check appropriate boxes) a <br /> O <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 is <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 0 <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 n <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 G-• <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 0 • <br /> Filling/Grading $150 Boathouse $500 ... <br /> r <br /> 0 <br /> Six Month Camping Unit(One Per Year) $100 Permit Extension(1 Year Extension-Allowed Once) $100 <br /> *NOTE:After-the-fact permits(permit aquired after construction has begun)may cost up to three times the normal fee. 11.110 <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. ro ' <br /> Property Owner's Name: Jai r 4II`ltet e- . .2 z w <br /> P MP <br /> Property Owner's Mailing Address: 1. 7 7 S j),,�.LAr(N. O r Silivi& 1'0l S �S7L o <br /> City State Zip .a j <br /> Property Site Address: 5" n — <br /> 4 <br /> Contact's Telephone Number: -1 I �� `J �i 1 Y 4 Y 7 o N ,� <br /> II <br /> 1 a <br /> Contact's Email: J J LA CeVek+D tl d-60 , M a, ' , t t)ilk <br /> d <br /> Legal Description of Property: -[4 r Cd q rl V 0- S— -� J <br /> Section#: Z\ Town#: 3 N Range#: \ --k W Town of: Pei 4i S 0 °Cul <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* d <br /> Tax ID#(1-5 digit number; found on tax statement): `i-7—I :,-1' <br /> Proposed Use of Structure/A dition: ' i^ t <br /> Anticipated Start Date: ns rip (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) '.°P' 0-1 <br /> x <br /> Building Contractor: C. It Sewer Installer: = 5. <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 -.......3 <br /> ANY construction taking place for any dwellings,dwelling additions,manufactured homes,manufactured z <br /> home additions,and bunkhouses.** I x <br /> dee otu .se A-v <br /> a. L.a ;r!. S i Z e ca.n k1 Cr exc e e 0 S . . <br /> s Fee Rec: <br /> /.75 <br /> y Check#: '31)I ' <br /> J 0 <br /> Date of staff site visit: 7/ /c)--1 Initials of site visit staff:�v z Jr t�k wLk); <br /> / o I ( � � <br /> 7L �/ -( <br /> APPROVED BY LAND SERVICES OFFICIAL: '4,1,"-> j/„/ �/i� DATE: so <br /> UPON APPROVAL: APPLICAN`Y' MUST POST COPY OF W <br /> z Nlq <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT o IN.) <br /> j N <br /> Transcendent: - Page 1 of 4 I'` I.) <br /> Laserfische: - Burnett County, WI Land Use Application—Rev 12/2020 a EN <br /> v ( ` _______JJ <br /> in3 <br /> v <br />