Laserfiche WebLink
LAND USE PERMIT APPLICATION — Burnett County, WI <br />Applicant Complete All Sections Below This Line <br />P mit 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/Sidewalk Bunkhouse $250 <br />Driveways/ & Campground Structures $125 WI State Statute 59.692(1v) Structures $350 <br />Filling/Grading $150 Boathouse $500 <br />Six Month Camping Unit (One Per Year) $100 Permit Extension (1 Year Extension - Allowed Once) $100 <br />*NOTE: After -the -fact permits (permit aquired after construction has begun) may cost up to three times the normal fee. <br />*Communication Towers & Signs require a different application form; see corresponding application, and fees. <br />*Items not listed above will be treated as accessory structures, such as: pergolIlos, landscaping, etc. <br />Property Owner's Name: 5 Ci C)117— <br />Property Owner's Mailing Address: <br />-� C ty State Zip <br />Property Site Address: <br />Contact's Telephone Number: 715--733-002,q [ {, u 6x Q (tilt J/rAGV <br />Contact's Email: <br />Legal Description of Property t L ✓t �Cf � <br />Section #: 21 Town #:Q_N Range #:�� IOW Town of: <br />*Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* <br />Tax ID # (1-5 digit number; found on tax statement): i,3 %SD <br />Proposed Use of Structure/A ditio : CO -6. /V <br />Anticipated Start Date: a _ , (Nome/Cabin; Commercial Business; Bedroom; Deck; etc.) <br />Building Contractor: 'wdSewer Installer:tto <br />AREA BELOW THIS LINE RESERVED FOR ZONING STAFF COMMENTS/CONDITIONS ONLY <br />THIS PERMI,(Tf ISS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br />ea r GL_/OW N O Ur,6a �a �Ji� ��P Gvi'L pl/ o/v .-4I�'j f00/ j�l ta~iVT <br />No �XPA41fivw aZG z)jweo/ /o G/ci:rl,tf 'Vart�i�e,.. <br />Date of staff site visit: �i'�o'i$' I t is of site isit staff: � <br />PERMIT APPROVED BY ZONING OFFICIAL: At/UL 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 />