Laserfiche WebLink
LAND USE PERMIT APPLICATION — Burnett County, WI a <br /> Applicant Complete All Sections Below This Line <br /> 0 <br /> Permit Types and Fees:(Please,check appropriate boxes) d <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 "G)r- - <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 <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 <br /> n C <br /> ` <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 °< <br /> xDriveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 r. <br /> ' Filling/Grading $150 Boathouse $500 ,` <br /> Six Month Camping Unit(One Per Year) $100 Permit Extension(1 Year Extension-Allowed Once) $100 w .r <br /> *NOTE:After-the-fact permits(permit aquired after construction has begun)may cost up to three times the normal fee. p <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. ` <br /> o <br /> r <br /> Property Owner's Name: M IC h o el `*i- i-e a n \/V a I �"7. I Yl cj <br /> I , , <br /> °o 6 <br /> Property Owner's Mailing Address: c)`i ii a..3 S to+e_ t2ioad 35 Webs-tcf V/L 5(-4-0g3-8- <br /> City tate 5' �n„ <br /> Property Site Address: LADh t f tat I LO 1 id E Y'' (/e.S..S ►..V Par L-o---µ c. 4o 4 <br /> ® P <br /> Contact's Telephone Number: r7 15 -P(c(c, e a'7 G� . a <br /> Contact's Email: t A)\1 t t eta t / l I IC'I-C( 17e55 '�Oct Curn I . Co►n , <br /> .r <br /> Legal Description of Property: 1 tl C 1 Lt CI t'Cl N w <br /> 0 <br /> ?� g (coOG.K)an� 0 <br /> Section#:_ c Town#: 1 �� N Range#: W Town of: ,{ o 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): _Le ! / Z / 3 c, <br /> Proposed Use of Structure/Addition: Lam p Y`-D Lt. n CI Si-r Ll (-f ore., w -IH <br /> F <br /> Anticipated Start Date: 1MM ed.(C(t"f Home/Capin;Commercial Business;Bedroom;Deck;etc.) Y <br /> ° e <br /> BuildingContractor: H <br /> /�/frl Sewer Installer: <br /> A W <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY Q <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> d T//ow u// cvNcs4dtis -R criP- v-/o. z -a <br /> W <br /> g -r t 1'S sl' h e-eds 7' r�o b e- 2 -1 e,CX/ /�/,/Zo e.-CI-CIk Pi 14 <br /> Vile_ I s (/ /0 ceIAA/0/1 atice_ lo/ 1 Sze- 1,1M,'7L3 <br /> H Fee Rec: /Zt,rDO <br /> y Check#: Mg. <br /> r d <br /> Date of staff site visit: 6 —l -- 60�0 Initials of site visit staff: L jI�`'�X r <br /> Cr" �^-..�.._— <br /> APPROVED BY LAND SERVICES OFFICIAL: DATE: 3/z8`zo2- a <br /> cn co X <br /> C <br /> UPON APPROVAL: APPL CANT MUST POST COPY OF <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT o 0 N <br /> Transcendent: Page 1 of 4 M = <br /> n <br /> Laserfische: - Burnett County, WI Land Use Application -Rev 1/2020 I J' <br /> M <br /> J+ <br /> ro <br />