Laserfiche WebLink
LAND USE PERMIT APPLICATION — Burnett County, WI g <br /> Applicant Complete All Sections Below This Line a ' <br /> 0 <br /> Permit Types and Fees:(Please,check appropriate boxes) �7 <br /> . <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 W <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 "t <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 <br /> cn lb <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 o <br /> /v Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 i=. N <br /> 1< <br /> 0 <br /> Filling/Grading $150 Boathouse $500 , <br /> Six Month Camping Unit(One Per Year) $100 Permit Extension(1 Year Extension-Allowed Once) $100 w <br /> *NOTE:After-the-fact permits(permit aquired after construction has begun)may cost up to three times the normal fee. FS <br /> *Communication Towers&Signs require a different application form;see corresponding application,and fees. ro <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. r. -. <br /> 0 <br /> Property Owner's Name: 1\1\((`h C e I `4-- •.J to n \Arr Cl I +Z 1 n o N <br /> 0 <br /> o <br /> Property Owner's Mailing Address: '`](i as stn.+e_ "(]ad 35 W b5-tcrr VI_ 5 409 <br /> , City . - _'. m c ' <br /> Property Site Address: W, ``1-.)I testa t 1 L�)t ��e V- n ess tALt Par ., W--1--A 70 4 N <br /> Contact's Telephone Number: '-1 15 -�S (G( ' - e a 7So a <br /> 0 <br /> Contact's Email: Leh I t e 1Ck 1 1 U..)I icit( tress &h (Yl CU I • up►'1'1 F %, <br /> 1 <br /> Legal Description of Property: 1 tl C 1.t d t'CI N <br /> o o� <br /> 0 <br /> Section#: 3 c Town#: 1 40 N Range#: ((p W Town of: OrkK I ' n c( N <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* .. <br /> Tax ID#(1-5 digit number; found on tax statement): -/3 i 9 i% 30$7.3 <br /> Ctt-P, <br /> Proposed Use of Structure/Addition: C0.rn{� (D Ll n GI 5 f r(<a (`-1---1--L)Yre_ W Home/Cabin;Commercial Business;Bedroom;Deck;etc.) N 0 '5° <br /> Anticipated Start Date: i0)(1"leG�l <br /> Building Contractor: A//A Sewer Installer: — -3 d <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: a N <br /> D �0/t/ow ait CoIt� ,o i -Fe, cu P-21'laz w <br /> -1 Fee Rec: 12.I 5V 0 <br /> N Check#: S')9 <br /> . C <br /> Date of staff site visit:V 1-11 `-N � 6 Initials of site visit staff: �i-- 1- r <br /> �f z <br /> APPROVED BY LAND SERVICES OFFICIAL: DATE: 3 ZV�Z/ "' `uEiji <br /> F a <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF Cr CD c <br /> ym <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT o ^' o <br /> � a� 1 <br /> Transcendent: Page 1 of 4 r, m <br /> Laserfische: - Burnett County, WI Land Use Application—Rev 1/2020 <br /> c L� �� <br /> N <br /> •-1 <br /> -o.b <br />