Laserfiche WebLink
LAND USE PERMIT APPLICATION — Burnett County, WI 5- <br /> b <br /> Applicant Complete All Sections Below This Line 0 r_ * <br /> a <br /> a <br /> Permit Types and Fees:(Please,check appropriate boxes) a <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 U.) <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 a <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 <br /> n <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 0 <br /> /. Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 r. <br /> r <br /> Filling/Grading $150 Boathouse $500 t <br /> Six Month Camping Unit(One Per Year) $100 Permit Extension(1Year Extension-Allowed Once) $100 w , <br /> _ 0 <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. a <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. I-- <br /> o <br /> Property Owner's Name: M I C h 0 e I `-1- -J tan \Na ( 4-Z i n G o <br /> -n <br /> o` <br /> Mailing a'�7�a5 Stcd -e Koad 35 (,t)e_bs-tc'- WL 54 94a. <br /> PropertyOwner's Address: + U �� <br /> ', 11 CityE <br /> Property Site Address: W\\ I �a t I 1 ( r ne. .S RU Par K Mitlii E <br /> Contact's Telephone Number: `7 15 -rt','(e( . Sao ' �1 0. <br /> \" o <br /> Contact's Email: L.L.)h I t e ta 1 i U.)1 ICi t( n e55 hot rnCt.i I • CO►"n ' <br /> Legal Description of Property: 11-1 C\Lt Ci t'CI N 00 % <br /> �, Rangef(D Cu K.Ian�� <br /> Section#: Town#: 1 yC N #: W Town of: � <br /> o <br /> *Attach additional page if needed for lengthy description OR attach acoopp�y ofof the deed OR attach tax system property page.* q. <br /> Tax ID#(1-5 digit number; found on tax statement): —Tv t 3 6 2-9 3 ^! v, <br /> Proposed Use of Structure/Addition: G0.rn co LL nG( sly i c -U Ire <br /> Anticipated Start Date: (O (flfcti Ct-t-f, Home/Cahin;Commercial Business;Bedroom;Deck;etc.) N N ° e <br /> Building Contractor: /\f/AA Sewer Installer: 1 <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY 'c. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> D��ri Q// c4T7oNs w\ cup -- zt-1 D, z <br /> ow �� W <br /> © A)s s li <br /> e_ €d 74 be_ wro - :14 / 6y ,o/1�ze a CI 6 h'AI, <br /> //,����� he � <br /> 7U e- /,/ 'S 014) c'o t,Af t a NGQ_ t o 171t1 51 Ze.._ i-^r'45. <br /> 9-19 <br /> H Fee Rec:!Z <br /> Check#: �S/19. <br /> 6 c <br /> Date of staff site visit: 1 bL Lam. <br /> � � Initials of site visit staff: — <br /> �Jl J <br /> APPROVED BY LAND SERVICES OFFICIAL: DATE: 3/ zez4.1 <br /> nr- <br /> Ril <br /> UPON APPROVAL: APPL CANT MUST POST COPY OF FA W ra n <br /> Hii <br /> SIGNED PERMIT APPLICATION TN PLAIN SIGHTCD <br /> N <br /> Transcendent: Page 1 of 4 '�°3 <br /> .. <br /> _,.< <br /> Laserfische: - Burnett County, WI Land Use Application —Rev 1/2020 no <br /> c LL .)J <br /> vl <br />