Laserfiche WebLink
LAND USE PERMIT APPLICATION—Burnett County,WI <br /> s <br /> a <br /> Applicant Complete All Sections Below This Line a j <br /> Permit Types and Fees:(Check appropriate box/boxes) _ U <br /> Dnelling/Prmcipal Budding-Single Family $300 Addition to DweOmg/Prmcipal Building-Single Family $200 <br /> Dwelling/Prmcipal Building-Multi-Famdy $300 Structural Alteration to DR Hing/Principal Buildings $200 1 <br /> Commercial4ndustrial Building $300 Addition to Commercial/Industrial Building $200 <br /> ✓ Accessory 3ructure(Non-Bunkhouse) $150 Addition to Accessory Structure $150 <br /> 4 <br /> Bunkhouse $250 Structural Alteration to Accessory Structure $150 < <br /> Accessory Structure-Commercial(Cl&It) 5200 Addition to Accessory Structure-Commercial(CI&Il) $200 0 <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk/Driveway& Gazebo,(WI Stat 59.692(lv)) $350 m <br /> m <br /> Campground Struuctures SI25 FiRing/Grad'ing $150 <br /> Camping Unit(Six Months Per Year) $100 Boathouse $500 <br /> 1 91 <br /> m <br /> Permit Extension(Valid for one year-Only 1 Allowed) $100 <br /> "NOTE Afta-tbe-fact(when no permit is obtained prior to construction)is up to three times the normal fee. <br /> 0 <br /> 'Communication Towers&Signs require a different application form,see corresponding application andfees. ^� <br /> � <br /> "Items not fisted above will be treated as accessory structures,such as:pergolas,landscaping,etc. a <br /> Property Owner's Name:Scott Lauder o <br /> Property Owner's Mailing Address: PO Box 634 Webster WI 548930 Cj-IC'ran1 u I I I[�fS�L hCP ' vn <br /> State Zip <br /> Property Site Address: 24331 Webster WI 54893 <br /> Contact's Telephone Number:(H)715-349-2376(Cell)847-226-4519 0 <br /> Contact's Email:scott.lauder@att.net <br /> LOT 1 CSM V21 P146#378898 GOV LOTS 1 &2 /ESMT#430331 <br /> Legal Description of Property: ( ) ( ) (w N <br /> Section#:09 Town#:39N N Range#:15 W Town of:LaFollette <br /> o <br /> "Attach additional page f needed for lengthy description OR allach a copy of the deed OR attach tax system property page.s <br /> Tax ID#(1-5 digit number;found on tax statement):9603 <br /> Proposed Use of Structure/Addition: Storage <br /> r <br /> Anticipated Start Date:June 15,2017 (HomelCabin;Commercial Business;Bedroom:Deck;etc.) � <br /> n ) <br /> Building Contractor:First Class Construction Sewer Installer: N/A z <br /> z <br /> AREA BELOW THIS LINE RESERVED FOR ZONING STAFF COA0ffNTS/CONDrrIONS ONLY J,. <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: I�YFrI <br /> -t <br /> Fee Rec: ISDOVt,/ <br /> N <br /> VJ <br /> e0 <br /> N <br /> O <br /> Date of staff site visit: ln'tials of site visit staff: D ® U U <br /> oN m C� <br /> PERMIT APPROVED BY ZONING OFFICIAL: DATE:6 Kz <br /> C? r� <br /> 0 <br /> Page 1 of 3 0 Z <br /> Burnett County,WI Land Use Application—Rev 03/2017 r —� <br /> x <br />