Laserfiche WebLink
LAND USE PERMIT APPLICATION — Burnett County, WI <br />Applicant Complete All Sections Below This Line <br />a <br />o' <br />Permit Types and Fees: (Please, check appropriate boxes) <br />Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 <br />Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 <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 />Deck/Stairs/Patio/Retaining Wall/Sidewalkd$125 <br />Bunkhouse $250 <br />Driveways/ & Campground Structures WI State Statute 59.692(ly) Structures $350 <br />Filling/Grading Boathouse $500 <br />Six Month Camping Unit (One PerYear) jPermit Extension (1 Year Extension - Allowed Once) $100 <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. <br />*Items not listed above will be treated as accessory structures, such as, p/ergolos, landscaping, etc. ! �/ <br />Property Owner's Name:/qUL- /�%�ji�%/U� <br />Property Owner's Mailing Address: G� y i✓51 " r��� ���� <br />q 2 ' / City State Zip om7 <br />Property Site Address:—Ie / 3 r/I�IA1t4✓� /�f/' j ', /% �%l�/; Gt,% SYe 3D <br />ontact's Telephone Number: fa 2_. 29 Z- -73o6 (�� <br />,moi',{ n� ... <br />2ontact's Email: I ,7 / r � I *T y <br />Legal Description of Property: -46F <br />Section #: Town #: N Range #: W Town of: <br />*Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page. <br />Fax ID # (1-5 digit number; found on tax statement): 2 r <br />Proposed Use of Structure/Addition: SDC, <br />Anticipated Start Date: AFf-/C ZZ ( Q, (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) <br />3uilding Contractor: lrgJ2 (1,0101WaA16 °lZ fi*50� Sewer Installer: <br />AREA BELOW THIS LINE RESERVED FOR ZONING STAFF COMMENTS/CONDITIONS — <br />THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br />l v b�'��v1�s �r �av\ l7�l <br />Date of staff site visit: 6.r()J I itials of site visit staff: <br />0— <br />PERMIT APPROVED BY ZONING OFFICIAL: DATE: <br />UPON APPROVAL: APPLICANT MUST POST COPY OF <br />SIGNED PERMIT APPLICATION IN PLAIN SIGHT <br />Page 1 of 4 <br />Burnett County, WI Land Use Application - Rev 1/2018 <br />(A <br />"17 <br />0 <br />a <br />v <br />1 <br />c 00 <br />d r <br />m <br />O <br />\ g <br />O \ <br />to <br />1_ o <br />Q <br />O <br />C <br />o N <br />a <br />a <br />,D d <br />CD <br />Y <br />W � <br />i <br />to <br />tA <br />4-% <br />Fee Rec: 5 <br />v <br />M <br />N <br />O <br />z <br />n <br />a : <br />D <br />A 0 <br />O <br />IV <br />O <br />a <br />�1 lU <br />b <br />z <br />m <br />rM <br />m <br />