Laserfiche WebLink
LAND USE PERMIT APPLICATION — Burnett County, WI a <br /> I <br /> C <br /> Applicant Complete All Sections Below This Line _ 0 a ;' <br /> Permit Types and Fees:(Please,check appropriate boxes) d <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 <br /> X Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 0 <br /> P2 <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 i _ <br /> 1 Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 1i ° ' <br /> Filling/Grading $150 Boathouse $500 c7� <br /> Six Month Camping Unit(One Per Year) $100 Permit Extension(1 Year Extension-Allowed Once) $100 I <br /> I <br /> *NOTE:After-the-fact permits(permit aquired after construction has begun)may cost up to three times the normal fee. DDD <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. CD <br /> r., . <br /> .r• I T n <br /> Property Owner's Name: R.( &U'4 IJt CA(L Sto G 1vLV`et U c-c(' z <br /> p <br /> Property Owner's Mailing Address: 21133 .CMtr Alit, Vl(w tiyi o <br /> City State Zip <br /> Property Site Address: �'I" sJ 1 Whish �IVtiv I CS �Y1 '�..!k UnciIh �' <br /> Contact's Telephone Number: <br /> U(2, - lL { l 'O V J V 0 - 1 <br /> 0 <br /> {- a , <br /> Contact's Email: �I l metVO Pl(QdIkCI CvI nL. GoY1r1Ei <br /> d _ <br /> Legal Description of Property:___ _ <br /> N -o <br /> cro <br /> Section#: 13 Town#: 30 N Range#: 11 W Town of: U(1UIr. _ _ n. <br /> °° <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): I35? 7 —_ ,-.; <br /> Proposed Use of Structure/Additio,n: S1_ S 1 .4.4. __ _ c4I <br /> Anticipated Start Date: Oil I (Home/Capin::Cunmu'rcial Business;Beim --t m.Deck;etc.) Z) x-t <br /> W o d <br /> Building Contractor: A.,1k. Sewer Installer:__ -3 <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 addit'ons, and bunkhouses.** x <br /> ` 00 x <br /> V (1)0A- 4.r h�► 4" ab. , C� <br /> BVI ee+ 4 5 e s 0 <br /> pb iIn aul s t 0-( i19,1 z Fee Rec:-.?a <br /> 7) <br /> e <br /> Check#: <br /> Date of staff site visit: 10/6/ Initi is of visi ,afI': � y <br /> /� L <br /> r-- <br /> ` ./_.--z DATE: 10/13/?/ : ii) �`--- <br /> APPROVED BY LAND SERVICES OFFICIAL. = <br /> n.UPON APPROVAL: APPLICA 'UST POST COPY OF m CS <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT ' `° •••• ,....3 <br /> c <br /> A <br /> NJ <br /> Transcendent: - Page 1 of 4 3 Z (4 <br /> Laserfische: - Burnett County, WI Land Use Application — Rev 12/2020 ; 0 <br /> L <br />