Laserfiche WebLink
LAND USE PERMIT APPLICATION - Burnett County, WI er r <br /> - b <br /> Applicant Complete All Sections Below This Line F g <br /> a <br /> Permit Types and Fees:(Please,check appropriate boxes) 1 <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 /> F <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 _; <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 n (1\ <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 o N <br /> J' Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 'S.,f Filling/Grading $150 Boathouse $500 o <br /> Six Month Camping Unit(One Per Year) $100 Permit Extension(1 Year Extension-Allowed Once) $100 r <br /> *NOTE:After-the-fact permits(permit aquired after construction has begun)may cost up to three times the normal fee. a <br /> *Communication Towers&Signs require a different application form;see corresponding application,and fees. <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. r- 5._ <br /> r <br /> Property Owner's Name: M 1C, �C� e,I "4" i tan rl \ a I -I--- I n ci ^r1 <br /> a <br /> Property Owner's Mailing Address: a ,- a S to.+e- "Plc ad 35 Webs-icy- VI_ 5 4c�g-1g ~ <br /> ' . ` City Stat E.. �„ <br /> Property Site Address: (mil.-\`-)I f t' tot I L )t Id e Ir r)es-s L' Par -t`4- <br /> F , <br /> Contact's Telephone Number: r7 15 -R (c(L, - S a 7‘.,, \ • n <br /> d <br /> Contact's Email: Loh' t etGo i Lt.)1 ICI e tr ne55 ' 1 hdfi alai 1 . CO► Th -0 g <br /> Legal Description of Property: I II C‘Lt d e et o w lir <br /> Section#:_3 c9\ Town#: i yoJ N Range#: ((.p W Town of: orkKi(a,n rf g. <br /> g <br /> d <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* <br /> C�� Z93 <br /> Tax ID#(1-5 digit number; found on tax statement): �:.���T � cn <br /> Proposed Use of Structure/Addition: (',-p,cn p Ck Y 0 Lt Yl CI Si—CD r f Li✓ W x <br /> Anticipated Start Date:_VA)(1)f'Ltt Ct-1--e Home/Capin;Commercial Business;Bedroom;Deck;etc.) I 1 - p <br /> Building Contractor:_]V//\ Sewer Installer: \\I © W <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY A <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: t N <br /> / <br /> o it //4 0Y - n4 G U,'- a t-- D, z ,p <br /> ��ol� a�� co �fC <br /> � x W <br /> O Ae-ci5 /IO7 U/[Otoe.I 4e- 05a r AGI Lt4m habf�Q4©14• <br /> H Fee Rec: 12/51:7° <br /> Check#:g1?& <br /> Date of staff site visit: 6 I 0 i -- c Initials of site visit staff: 11Ar <br /> APPROVED BY LAND SERVICES OFFICIAL: 1'-"---.-'-- DATE: 3/Z87a0 Z r <br /> aim <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF (W n <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT oo N Gu <br /> Transcendent: - Page 1 of 4 , `` ^�+ <br /> Laserfische: - Burnett County, WI Land Use Application —Rev 1/2020 rr = 111 <br /> I <br /> L <br />