Laserfiche WebLink
LAND USE PERMIT APPLICATION - Burnett County, WI b <br /> Applicant Complete All Sections Below This Line <br /> , P +-- <br /> Permit Types and Fees:(Please,check appropriate boxes) 0 <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 <br /> a' 01 <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 <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 ri...„ , <br /> n <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 ° <br /> XDriveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 <br /> Filling/Grading $150 Boathouse $500 0 <br /> Six Month Camping Unit(One Per Year) $100 Permit Extension(1 Year Extension-Allowed Once) $100 r)' l <br /> B • <br /> *NOTE:After-the-fact permits(permit aquired after construction has begun)may cost up to three times the normal fee. —` <br /> *Communication Towers&Signs require a different application form;see corresponding application,and fees. ,Ni-, <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. r P. (' <br /> g <br /> Property Owner's Name: M(C`_h 0 e,i "I- .-i to Yl ilia I +Z I n c o <br /> o <br /> 110 <br /> Property Owner's Mailing Address: a r]a ±c1 1-e. "Pi oad 35 W ebs-tcr VI_ 5 4073-a <br /> LA) <br /> , ` City tate t E <br /> LA)Property Site Address: I a i I 1 e r n eSs 1eV Par Lot-+i 31 - <br /> o h t <br /> Contact's Telephone Number: `7 15 -ec(c-(r - ea-is, -;/A G ^` � I <br /> Contact's Email: L )h l t eta, / t)I Lck rr ne55 @.ht51-M cu I . Co m " 5 <br /> Legal Description of Property: 1f C)t,tCk,cd o o� <br /> Section#: 3 c Town#: 1 40 N Range#: 1(.0 W Town of: O 2K k a r c{ t7 \ <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax�system property page.* q <br /> Tax ID#(1-5 digit number; found on tax statement): 36 2 /3 <br /> Proposed Use of Structure/Addition: Cann p 011 O Ll n Ct si-r U (`-I-L)k% -Ix <br /> Anticipated Start Date: 10)med(CLy-e Home/Cahin;Commercial Business;Bedroom;Deck;etc.) (\.) � ' ° p <br /> Building Contractor: AAlpSewer Installer: " e, <br /> A W <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED o BELOW: <br /> fv// all Goxc47�t ow5 � in,CUP- Li- / z <br /> 4 t\I <br /> H Fee Rec:/Z,1220 <br /> N Check#: 8/99 <br /> rn <br /> Date of staff site visit: ( I'-''—d 0 C) Initials of site visit staff: L/Kki--- m <br /> OFFICIAL: DATE: 3 2� �Z-(,� <br /> APPROVED BY LAND SERVICES / r' <br /> w f_ <br /> UPON APPROVAL: APPL CANT MUST POST COPY OF , <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT o N _ <br /> Transcendent: Page 1 of 4 / 1:::: <br /> Laserfische: - Burnett County, WI Land Use Application—Rev I/2020J <br /> Cc. JJ <br /> .0 <br />