Laserfiche WebLink
• <br /> LAND USE PERMIT APPLICATION — Burnett County, WI a r <br /> Applicant Complete All Sections Below This Line c to <br /> Permit Types and Fees:(Please,check appropriate boxes) d qJ <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 <br /> '"Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure .$200 �o <br /> X Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 l� g <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse ,$150 0 \ )~ <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 < <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(ly)Structures $350 0 <br /> Filling/Grading $150 Boathouse $500 <br /> r\ <br /> Permit Extension(1 Year Extension-Allowed Once) $100 e. <br /> *NOTE:After-the-fact permits(permit aquired after construction has begun)may cost up to three times the normal fee. -41 Illb <br /> *Communication Towers&Signs require a different application form;see corresponding application,and fees. g" <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. o ' <br /> Property Owner's Name: t•-6 1(1 e C'#� At c I:►tAA- 5e vl r' f.`3 v 4 c. <br /> / p� S b <br /> Property Owner's Mailing Address: -T tt -1 in�ki�t.. 5-1— 1 4-y/dc�J`� /'7/t( 3�j(J(�3 `� <br /> 1 <br /> / � // y� n City _ State Zip <br /> Property Site Address:,. LI 1 ) 1-- 14.4-S� / 44,..e A o P 611 (, ,.(r • z <br /> c. <br /> // <br /> Contact's Telephone Number: (7 5 1 ' ).-lei - y� -C(, 7 d C' <br /> Contact's Email: 5e U e c S 0 VL to k or e Pito 7 Q & Mt,' 4, 61©1,' r <br /> Legal Description of Property: r C L (1; co U tot— t . go <br /> v <br /> Section#: 3 Town#: 9 Q N Range#: / 7 W Town of: (J n..i o A g" <br /> *Attach additional page if needed for lengthy description OR attach as "l <br /> (.copy of�the deed OR attach tax system property page.* <br /> cn <br /> Tax ID#(1-5 digit number; found on tax statement): 2 1 <br /> Proposed Use of Structure/Addition: NtO to 1-O 4U-c PA-r- iCf <br /> i7 <br /> Anticipated Start Date: J t4. / 51— (Home/Cabin;Commercial Business;Bedroom;Deck;etc) H <br /> �. . <br /> Building Contractor: Sewer Installer: <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <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 <br /> ANY construction taking place for any dwellings,dwell' ditions,manufactured homes,manufactured <br /> o <br /> home additions,and bunkhouses.** L. ck'. t 15 ricezAC�J\J a\ <br /> p. /flee-f al( 'C -6-4k L.Ss �-�p0 <br /> NA--4-or tt i3tc P Ie+u,4 C7 x Fee Recc/ D <br /> Check#: Gl71 <br /> cri <br /> Date of staff site visit: 5 /I 2 Initials o site vi;rst , <br /> c <br /> APPROVED BY LAND SERVICES OFFICIAL: / DATE: i-iS?..a ,,, , <br /> `O <br /> F5 .W. Ifffil <br /> UPON APPROVAL: APPLICAN UST POST COPY OF c c <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT z 1511 <br /> o N <br /> N <br /> Page l of 5 m <br /> Burnett County,WI Land Use Application-Rev 12/2021 $1 - - '� <br /> rricna <br /> i <br /> b <br />