|
. '
<br /> LAND USE PERMIT APPLICATION —Burnett Countv.W1
<br /> p: g
<br /> --, -
<br /> ---e- , :-- 7
<br /> Applicant Complex Aa Secticim BeInv Pais I inr
<br /> -
<br /> Permit Typesand Feew(Plea.ve,cheritappropriate bates)
<br /> --F. -- '
<br /> , c;) il••--
<br /> Dweiting/Principa4Structuvre $300 0.,aldiltie,r4/Afteration to Owe(Wrig/Prikidpal S,tructure 1 5200 : gt '431
<br /> -
<br /> iCominercialfindusoria Structure 5300 AciditiorrAiteration PO Cfainnieraaiiincirastria Structure $200
<br /> Accessory Structure(Garage,Shed,etc i 5150 'Addrtionrnitieration to Accessary Strucrure '$150
<br /> f
<br /> Accessory Structure.Cer-rfrherciaitinciusanati 5200 AdditionitAiirterai3ion to Bunkhouse $150
<br /> Deck/Stairs/Patio/Retaining WA/Sidewalk lilunichause $250
<br /> DriVeWaYSI&CarrpgrourVi Stturtures $125 KIWI State Statute 59.1392:11v;i Strucares SW '
<br /> Filling/Grading $150 ifioatirtorese $51))
<br /> Six Month Camping Unit(One Per Yearj $100 /Permit Extension(1 Yea-Extension-Allowed Once f $100 ,
<br /> S
<br /> *NOTE:After-the-fact permits(permit aquired after construction has begun)may cost up to three times the normal fee. ' ;;,:. LitY-
<br /> *Communication Towers&Signs require a different uppikotionform see corresponding appiication,and fees.
<br /> items not listed above**be treated os accessory structures,such as:,penekts,Ireartiocarpim etc
<br /> r.,
<br /> , ;1'• r"-)
<br /> i__P) /, „,
<br /> Property Owner's Name' '1'ti;ell i Ca-- I - ff, 0 l'A.,
<br /> i 1 '(-
<br /> Property Owner's Mailing Address: iZZ 5 re-f-ti:1-e,A re.,I i ,,e'recylu 1,i.);:r.- C /2c'i 77 , k
<br /> ,
<br /> Property Site Address:it:o 4-- S V1;t<57 (2 le' e.„
<br /> .,,,.
<br /> = -:
<br /> ''
<br /> Contact's Telephone Number: (o 2. -Z-lo
<br /> ...... 21
<br /> A ,
<br /> Contact's Email. Ke( i h /11 e c-::Le): 6-e--Ina t / . c o rn .....
<br /> ' 9 '
<br /> E I3
<br /> Legal Description of Property: 1-0-f- 3 V Z to .10 Li ,
<br /> Section#: 1'3 Town#: £40 N Range#: i'l W Town On ..5 to 4-t-
<br /> *Attach additional pag..0c if needed fat-lengthy description OR attach a t".cprpt the dirrd OR d'Al2Cit lar lystetin przr retwptge*
<br /> 7'
<br /> Tax ID#(I-5 digit number:fogad on tax matementy
<br /> Proposed Use of Structure' ddition:
<br /> Anticipated Start Date: //2-Pe "4 I
<br /> ,_
<br /> ellome-Cgthog:Crommertred Bosaiweo.:Bednoom..dAltki:est
<br /> Building Contractor „Qt.( -Sewer installer
<br /> -..'''
<br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS,CONDITIONS ONLY
<br /> X k.IN
<br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW:
<br /> **The applicant needs to contact their I'DC Inspector to determine if o permit is needed fram them prior to
<br /> .
<br /> LV)'construction taking place for any dwellings,dwellin,q additions'.manufactured homes.manufactured z
<br /> ha.' •additions..ond bunkhouses.**
<br /> dO 01 e e k C1/411 5 G-kbr-015 . !
<br /> L'14 fesb l' ,-kon 61 - - e1+. ,
<br /> * 1,
<br /> • .5.W4- '1.6q2-CIO arerio+- Ap be useei c)( 1u4'11,,,,,rt 9 \ frutDri-K-\-;or), , J
<br /> iid Chca 4: ti,e7 Li
<br /> Date of staff site visit: 101.7e129-- taitiralts of visiti .ftt-j- i •*- ,
<br /> APPROVED DV LAND SERVICES OFFICIAL: " 44( DAI C: lii 3-02- -
<br /> st
<br /> 7 ..m
<br /> . .sa 7- Iiiiil
<br /> UPON APPROVAL: APPLICA. -:' °/ UST POST COPY OF
<br /> .3
<br /> ca
<br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT 0 r•s., if in]
<br /> o
<br /> Transcendent: - Page 1 of 4
<br /> Lascrfischc: - ifilil
<br /> Burnett County,WI Land Use Application—Rev 12/2020 i
<br /> •-.- c_—_____j
<br /> t
<br />
|