Laserfiche WebLink
LAND USE PERMIT APPLICATION— Burnett County, WI a <br /> Applicant Complete All Sections Below This Line tco � <br /> Permit Types and Fees:(Please,check appropriate boxes) cl. b <br /> d <br /> Dwelling/Principal Structure $3 Addition/Alteration to Dwelling/Principal Structure $200 14 CP <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 o <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 cl <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 co, <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 r 9J 7. <br /> Filling/Grading $150 Boathouse $500 c <br /> sw <br /> 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. <br /> UJI <br /> *Communication Towers&Signs require a different application form;see corresponding application,and fees. Z' I <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. �� <br /> Property Owner's Name: rl'o'+ti`E reel* t L f .. • <br /> Property Owner's Mailing Address: I S• Ur4it £ c J owitfCifori ler S5 (7 E --C. 1 <br /> City State Zip o t <br /> Property Site Address: 7/i' lic1-4-ieDr <br /> kk , <br /> lid S 1-4-ie <br /> Contact's Telephone Number: (off/"y$6---'a 74K4/0 se," 7/5'- y/6-Dr55— <br /> Contact's Email: ill—CCM. ,ore-ygtn cierre60,912.Opel p S�o144. 4{cCCe,c54 ' erc.eor-'- o <br /> Legal Description of Property:£S$? 1// v. (' c. CA t4)G <br /> Section#: Town#: 3'/v N Range#:_ /G W Town of: OA/.d¢ per <br /> *Attach addil o l page if needed!./I%.hy description.,„ .,, , opy of the deed OR attach tax system property page. <br /> Tax ID#(1-5 digit number;found on tax statement): t 3?61 4 ///SG o <br /> ^ .Akl,w ,/feC,.#t. t7 <br /> (.� <br /> Proposed Use of Structure/Addition: as.lak <br /> Anticipated Start Date: �� Attie (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) <br /> r ` <br /> Building Contractor: Tce Sewer Installer: s( qµu( :. E / <br /> .--Q <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY z ` > fl <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: x <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 <br /> home additions,and bunkhouses.* <br /> !ktee+- CO 5, u(,` aVercj) v/45 used.0'C 35 <br /> e Dwei(b 00f- -1-0 kf(Ce 43 vofi p tr- SM-,9-4-7 Li Li• .4....u. <br /> EA <br /> 0 O1c 9arae (-Q k lrej)16'd9 ( 14CeJ _b h, aso?33D c <br /> Date of staff site visit: ' t � ,.3`2L'�t2 Initials of 'te visits . `• L r Fee Rec: '-' <br /> t24 - <br /> /�` i....Chgia— <br /> APPROVED BY LAND SERVICES OFFICIAL: DATE: cD/ci �� ,��J <br /> UPON APPROVAL: APPLICAN ' UST POST COPY OF ; NI <br /> co jo. <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT <br /> 0 <br /> Page 1 of 5 Q <br /> Burnett County, WI Land Use Application —Rev 12/2021 N <br /> RI <br />