Laserfiche WebLink
• <br /> LAND USE PERMIT APPLICATION— Burnett County, WI r <br /> a g <br /> Applicant Complete All Sections Below This Line ' N <br /> 0 <br /> - Permit Types and Fees:(Please,check appropriate boxes) c. ~ <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 a; <br /> Commercial/Industrial Structure Addition/Alteration to Commercial/Industrial Structure $200 " Q <br /> Accessory Structure(Garage,Shed,etc.) 150-- Addition/Alteration to Accessory Structure $150 i <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 " 4 <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 C <br /> s &Cam o <br /> Driveways/ Aground Structures $125 WlState Statute 59.692(ly)Structures $350 . N` <br /> Filling/Grading $150 Boathouse $500 Qilk <br /> o .. <br /> Six Month Camping Unit(One Per Year) $100 _ Permit Extension(1 Year Extension-Allowed Once) $100 <br /> *NOTE:After-the-fact permits � <br /> (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. <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. .d <br /> Property Owner's Name: {"LGWtL10ii�� �� • <br /> 54 z y <br /> Property Owner's Mailing Address: `L(� 3 StiCQ,tr l�� I��l t Li s �i <br /> o <br /> l� <br /> City State Zi o <br /> Property Site Address: (�3 fp, .CL%- I U, rr m, GSI- l93I E. n <br /> Contact's Telephone Number: e5 ( , '�C;. Z`i l eC <br /> i o <br /> Contact's Email: (V.(L 1 try .S , <br /> w <br /> Legal Description of Property: PCS- k,-/ )?...4.---t- / 4- , v;�.-� 3- �-° <br /> l N K1 <br /> Section#: a Town#: n N Range#: i 5l W Town of: '1'4/`'- ✓ <br /> 5' <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): 3'-f ' & 3 . <br /> Proposed Use of Structure/Addition: 5--70r411.e 5 ct h*, cn . <br /> Anticipated Start Date: 140V La Z-( (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) d <br /> Building Contractor: m w IN-e-4,- Sewer Installer: <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY W <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: -Z... <br /> **The applicant needs to contact their UDC Inspector to determine if a permit is needed from them prior to �-.c.;t <br /> ANY construction taking place for any dwellings, dwelling additions,manufactured homes,manufactured z <br /> home additions,and bun houses.** z <br /> ( NC+ h�,l� 4n h.c b + +-; oil <br /> . (11e��- all 5c+b&c Cid Read I o' - !.ne 5e44Gkk <br /> Fee Rec: <br /> I/5�'e� <br /> 6n Check#: (0 0 <br /> Go1shDate of staff site visit: I Initia of '.e visit staff: <br /> �� / l IP"'"- <br /> C:3 ;i <br /> APPROVED BY LAND SERVICES OFFICIAL: EA / r//j%'DATE: 'V1���1 • r <br /> `/, _ a cj <br /> UPON APPROVAL: APPLICAN UST POST COPY OF . c W rn <br /> ic a w <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT 0 W o N <br /> Transcendent: - Page 1 of 4 g o C <br /> Laserfische: - Burnett County, WI Land Use Application—Rev 12/2020 1, in <br />