Laserfiche WebLink
USE,PERNIIT APPLICATION—Burnett County,WI <br /> r <br /> N <br /> Be�w This'Line � Y' <br /> Permit Types and F9es(M ash sheet appropr1e bnsaes <br /> Strucaee $300 AdditionlAlteration co sbumm $2t>D <br /> v <br /> Commercial/industrial Structure $300 Addition/Aiteratioo to CommercW/Industrial Structure $200 O <br /> Accessory Structure(GarW,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 <br /> ( $200 AddiiioWAiteration to Bunkhouse $150 <br /> pedj�im/Patio/Re�irfg Wall/Sidewalk Bunkhouse $250 <br /> OrirewdiW&Campground Structures $125 State Statute 59MAIv)Structures $350 <br /> $150 Boathouse $ <br /> Solar Partek(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Alkn ed Once) $100 <br /> pM:After-the4act permits(permdt acquired after constnution has begun)nM cost up to three tines the rYortrni lee. <br /> *C0mmwgwtron Towers,CampuV Pwnifts&S19ns require a d4kjent appka6w form;see corresponding applla tkn and fees. <br /> ''Items not listed above w#1 be treated as accessory structures,such as:pergoht,landscaping,etc. <br /> z <br /> e <br /> Property Owner's Name: rL� J <br /> Property Owner's Mailing Address: 2,6510 � 1� � 06 k r 1. �' g <br /> C* State ZiD <br /> Property Site Address "eit —s C <br /> Y <br /> Contact's Telephone Number: —7/S —416 '-0 123 � <br /> Contact's Emar1: A&# n <br /> **If staff bas a question about this application,you will be&dftcted via email. Make sure your email address is <br /> legible and your email provider will accept emails from the following address: @BurnettCou`ntyWI.gov _ <br /> Legal Description of Property: W a N� ,�l (.al 1 CS hn Vq Pad <br /> Sect.#:_IL Town#: JV N Range#: W Town of: Nis st <br /> *Attach addidonal page tf neededfor lengthy deschiption OR attach a dopy of the deed OR attach tas system propenypage-* <br /> Tax ID#(1-5 digit member,found on tax statement)_ /S Sae <br /> Proposed Use of S>iii :du Il • 'on:_ Q-o a A <br /> Anticipated Start Date ObnzCaW Coal Dwt N <br /> Building Contractor. I — •� 4 NSC Sewer Installer: 7 14d AW&W <br /> AR <br /> . w THIS L_ E FO�t LAND SERVICES STAFF C4NIIISENTS/CONDTI`I +l')a1LY z <br /> TM pERM"IS SUBJECT To.ALL CONDITIONS LISTED BELOW: <br /> ONO on -*is ravel-Glue mAJ -� be used for hWW,*7 h4bl'k'q <br /> Fee Rec: l� <br /> bq io13 IV5. Cbeck#• <br /> Sheds un 4 t pa((tJ n-eed perm•+ by ►�Lo25. <br /> Date of staff site visit: 21 ��5 Initials of site visit staff: DB 4-- 6 a `, <br /> APPROVED BY LAND SERVICES OFFICIAL. V� DATE: <br /> A tD <br /> ca <br /> UPON AMVAL: APPLICANT MUST POST CO1' O d <br /> SIGNET) PERMIT APP:LLCATION IN PLAIN <br /> Page 1 of S <br /> Barnett Comity,WI Land Use Applieadan—Rev ll 2M <br />