Laserfiche WebLink
-. Cl, ^o <br /> LAND USE PERMIT APPLICATION—Burnett County, WI a g <br /> in: N <br /> _ Applicant Complete All Sections Below This Line 0 �` <br /> 0. <br /> Permit Types and Fees:(Please,check appropriate boxes) e _ <br /> Dwelling/Principal Structure $300 )(Addition/Alteration to Dwelling/Principal Structure $200 q�� <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 tv <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 f <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 yl <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse • $250 • nIF <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Strurctyres $350 °< • <br /> Filling/Grading $150 Boathouse $500 • o L ,_' <br /> Six Month Camping Unit(One Per Year) $100 Permit Extension(l Year Extension-Allowed Once) $100 <br /> C" <br /> *NOTE:After-the-fact permits(permit aquired 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. ,i <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. co <br /> Property Owner's Name: " !�` - V\ Jcver, <br /> Aft o <br /> Property Owner's Mailing Address: /O SOLI S •h-/c_ 1 l !© 51-r, Lir S�c�7Z o , <br /> 0 <br /> City State Zip -0 <br /> Property Site Address: .2•S(.0- 1 Z , y ci 19,rI- C 0 f.1,f- 5,•-zA tj 81E_ <br /> Contact's Telephone Number: /-Z lc Z A 2 3 Z 2- 1 o F, <br /> T a <br /> Contact's Email: -- , 1 n o <br /> Legal Description of Property: Lo 1 .5.44 t✓/9 ccl V 01 28 r 1 <br /> ) <br /> N ro <br /> Section#: /0) Town#: 38 N Range#: I -7 W Town of: 0 Arc k �. °q <br /> *Attach additional page i neededfor lengthy description OR attach a copyofthe deed OR attach tax system property page.** <br /> al <br /> PS I• g P Y P P YP8 p <br /> Tax ID#(1-5 digit number;found on tax statement): 3 5�''IL-3 f• <br /> Proposed Use of Structure/Addition: Cj Clret5 C 7.:' <br /> Anticipated Start Date: 9-/-Z t (Home/Cabin;Commercial Business:Bedroom:Deck:etc.) y x <br /> BuildingContractor: 4t)c�' / /41/ re y t�kfle1 G <br /> �ro.L ��cr,�.� Sewer Installer: <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 <br /> ANY construction taking place for any dwellings,dwelling additions,manufactured homes,manufactured z <br /> home additions, and bunkhouses.** x VI �J" <br /> 0 atee,(-- l <br /> 0 No,v_ .6( k,,elevul ho,b,+-44)‘0/1 r'.k to Gilt + dila di al Se C -4 il <br /> Fee Rec: c2C <br /> 4 Check#: 3I,10 <br /> 00/P4 ,rn <br /> Date of staff site visit: Initials of:'te visi staf <br /> a <br /> C <br /> APPROVED BY LAND SERVICES OFFICIAL: , / j DAT ? `� n <br /> UPON APPROVAL: APPLICAN ' UST POST COPY OF ° m 0T Z. c <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT r N <br /> Transcendent: Page 1 of 4 <br /> Laserfische: - Burnett County,WI Land Use Application-Rev 12/2020 cfill <br /> 7 <br /> `0 <br /> 1 <br />