Laserfiche WebLink
' LAND USE PERMIT APPLICATION — Burnett County, WI a <br /> Applicant Complete All Sections Below This Line 5' <br /> Z CD 1 NJ <br /> Permit Types and Fees:(Please,check appropriate boxes) n' <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 d <br /> ro <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 O <br /> P <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 \ <br /> C) <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 o ' <br /> Filling/Grading $150 Boathouse $500 - t- <br /> o <br /> Six Month Camping Unit(One Per Year) $100 )i Permit Extension(1 Year Extension-Allowed Once) $100 t <br /> Ai <br /> a7 <br /> *NOTE:After-the-fact permits(permit aquired after construction has begun)may cost up to three times the normal fee. = N <br /> *Communication Towers&Signs require a different application form;see corresponding application,and fees. IS <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. <br /> ro <br /> Property Owner's Name: H a R a t 4 f 'nc� 0 . <br /> Lyn n vi V / e r� o o N. <br /> Property Owner's Mailing Address: a 9 3,: . V ie.1,/ A V e /V 19 17;N fc1r le 4 A/ 5',r t-, 'TI ) <br /> o <br /> p City State Zip fa. '_ <br /> Property Site Address: , ,qd 13 t a $T yet i w R;u eR Rd pt/113vA l IN I Vl <br /> rp <br /> Contact's Telephone Number: 7 6 .? " 3 31- S,2 y. o N <br /> _ <br /> �-- F <br /> Contact's Email: >�'e OR IK Pe-R141':. Ji,f}e—,2 1- 14 6 I d <br /> Legal Description of Property: N b <br /> Section#: Town#: N Range#: W Town of: 0 CTG <br /> '....„ <br /> 5 <br /> CSN <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* cicp <br /> Tax ID#(1-5 digit number; found on tax statement): <br /> HProposed Use of Structure/Addition: °► ''e `" <br /> Anticipated Start Date: (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) o� <br /> ° <br /> � x <br /> I-) 0/ic-i s ° e <br /> BuildingContractor: �C-� F Sewer Installer: <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY A <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: C <br /> **The applicant needs to contact their L'DC Inspector to determine ifa permit is needed from them prior to -� <br /> ANY construction taking place for any dwellings,dwelling additions,manufactured homes, manufactured z <br /> home additions, and bunkhouses.** <br /> unkhouses..** <br /> %� <br /> Y (Vee-- °t(ISGCLC. S I <br /> �°' ' 5�u, acers be- /�✓ o� T►ej <br /> ,44-6 <br /> eki. Se •.. b ��r i i 7a <br /> JJ , <br /> C)trie&-f- ct, 11 •^fol dM p fe v c2) 'e�,�'-1-s • x Fee Rec: i Ott 41 <br /> 4- Check#: Lore <br /> d <br /> Date of staff site visit: 71 ; 1 I?o Initials o site visi .taff• pl L <br /> D <br /> cDIX:7 <br /> . <br /> APPROVED BY LAND SERVICES OFFICIAL: ^ ' DATE: 7l0ala� <br /> Iiiit <br /> UPON APPROVAL: APPLICAN . UST POST COPY OF W <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHTItifil <br /> C) <br /> CO <br /> 0 <br /> Transcendent: Page 1 of 4 a �o <br /> Laserfische: Burnett County, WI Land Use Application-Rev 12/2020 3� ^' <br /> NI <br /> a r�� <br /> b <br />