Laserfiche WebLink
LAND USE PERMIT APPLICATION — Burnett County, WI r <br /> a � <br /> b <br /> Applicant Complete All Sections Below This Line N <br /> a �� <br /> Permit Types and Fees:(Please,check appropriate boxes) 2 <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 "� <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 ki° <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 <br /> n <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 ° 1 <br /> f. Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 <br /> 0 <br /> Filling/Grading $150 Boathouse $500 f <br /> Six Month Camping Unit(One Per Year) $100 Permit Extension(1 Year Extension-Allowed Once) $100 v <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. -o i'41— <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. t-. <br /> o <br /> r <br /> Property Owner's Name: M IC h Cj e I -1- J teen \lV O 1 +Z I n n p % <br /> \ '! o <br /> E. 1 <br /> Property Owner's Mailing Address: o)r]t J ta+e ?load <br /> 35 We.b5-1cv ' L `J 409,-a <br /> ', ,, A\ City <br /> Property Site Address: W I t a I I 1 �l e Y^ (7 es-S ►`' U Pa r Kt...4 � <br /> o (' <br /> Contact's Telephone Number: '715 - '(c.(co ea-4,, r,c, <br /> Contact's Email: (..�Th t 1"e to I I L I Of r ne55 0 ()ICU 1 . CO✓1'1 <br /> ,, <br /> Legal Description of Property: I n C 1l t C1 t'GIN <br /> _ 0 c <br /> 0 <br /> Section#:-7< Town#: 1 HO N Range#: ((p W Town of: O(Ti. K j a n a a. <br /> d <br /> --- <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 6 2-9.3 <br /> C.C.rn D C Y`-O Lt n d S-[-YL:l (`f 0 re_Proposed Use of Structure/Addition: f <br /> Anticipated Start Date: I t"t)n ed.I a t-e, Home/Cahin;Commercial Business;Bedroom;Deck;etc.) \ - p <br /> Building Contractor: /�//A Sewer Installer: — -� <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br /> N <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> O /VI)l o Q/I CoPtc7io1/5 cr19 bM CUP-z(-io• 70 `0 <br /> w <br /> -Th 1S S/// h e.e,a/S be-- too.'-74t ' iy (d/1 f ZOaf( 7'9 l0p 14 <br /> e_ 1 j/,wt t 1 kt A, co Pti 4Hc e �V S./Le ��'wA 7�5• <br /> Fee Rec: (2/3-700 <br /> N Check#: 2'1,8" <br /> - 16 *-- 0.0 �L . �- <br /> Date of staff site visit: Initials of site visit staff: <br /> C. <br /> APPROVED BY LAND SERVICES OFFICIAL: DATE: 3/2E40 2-Y T Efil <br /> UPON APPROVAL: APP ICANT MUST POST COPY OF 4'I.W a <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT po <br /> f E N <br /> Transcendent: - Page 1 of 4 <br /> ) N <br /> Laserfische: - Burnett County, WI Land Use Application -Rev 1/2020 <br /> Y <br />