Laserfiche WebLink
LAND USE PERMIT APPLICATION — Burnett County, WI <br />Applicant Complete All Sections Below This Line <br />Permit Types and Fees: (Please, check appropriate boxes) <br />Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure <br />$200 <br />Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure <br />$200 <br />Accessory Structure (Garage, Shed, etc.) $150 Addition/Alteration to Accessory Structure <br />$150 <br />Accessory Structure (Commercial/Industrial) $200 Addition/Alteration to Bunkhouse <br />$150 <br />Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse <br />$250 <br />Driveways/ & Campground Structures $125 WI State Statute 59.692(ly) Structures <br />$350 <br />Filling/Grading $150 Boathouse <br />1$100 <br />$500 <br />Six Month Camping Unit (One Per Year) Permit Extension (1 Year Extension - Allowed Once) <br />$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 landscaping, etc. <br />QQas: pergolas, <br />Vo �vY` -/'C <br />Property Owner's Name: 0 S - IA t K'll VO l <br />41k St (V F�v-st4/V SSO� <br />Property Owner's Mailing Address: 3qll 902 <br />Q Ctat <br />a 1 S/ Sr <br />Property Site Address: S� r ^SrZip <br />o S <br />Contact's Telephone Number: 412-3!a3 a a <br />Contact's Email: 0 'r -I "T yX h J r ► Vl[Z ( C e9 v�'� <br />Legal Description of Property: C -Q T 3-S�C 33 ot✓a <br />Section #:.S33 Town #:1449V N Range #:-k /(a W Town of:_ 0 -4< <br />*Attach additional page if needed for lengthv 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): f 372 <br />i r � <br />Proposed Use of Structure/Addition: <br />Anticipated Start Date: 'f// y1�1 u (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) <br />Building Contractor: Se I -C Sewer Installer: <br />AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br />THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br />l <br />APPROVEP <br />Date of staff site visit: <br />PERMIT APPROVED BY LAND SERVICES <br />Initials of site visit staff: <br />UPON APPROVAL: APPLI( <br />3ST COPY OF <br />SIGNED PERMIT APPLICATION IN PLAIN SIGHT <br />Page 1 of 4 <br />Burnett County, WI Land Use Application — Rev 3/2018 <br />�v <br />ar <br />d C� <br />CD <br />� E <br />0 <br />O " <br />o t <br />O <br />< — 0 <br />0 <br />CD <br />w� <br />C <br />0 <br />U <br />C Ar <br />c <br />a. S <br />d <br />I p <br />r -- <br />V <br />V -j k <br />0 <br />O <br />z <br />G� <br />Fee Rec:' / S� <br />cVu*-C,K yv�s <br />d <br />� <br />n <br />z <br />D <br />aCID <br />r <br />o <br />d <br />v <br />b <br />