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 $300Addition/Alteration <br />to Dwelling/Principal Structure <br />$200 <br />Commercial/Industrial Structure $300 <br />Addition/Alteration to Commercial/Industrial Structure <br />$200 <br />Accessory Structure (Garage, Shed, etc.) $150 <br />Addition/Alteration to Accessory Structure <br />$150 <br />Accessory Structure (Commercial/Industrial) $200 <br />Addition/Alteration to Bunkhouse <br />$150 <br />Deck/Stairs/Patio/Retaining Wall/Sidewalk <br />Driveways/ & Campground Structures $125 <br />Bunkhouse <br />jWl State Statute 59.692(1v) Structures <br />$250 <br />$350 <br />Filling/Grading $150 1 <br />1 Boathouse <br />$500 <br />Six Month Camping Unit (One Per Year) $1001 <br />lPermit 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 as: pergolas, landscaping, etc. <br />Property Owner's Name: Ly e ell. I � - <br />Property Owner's Mailing Address: J q3 6 M, in flfnAl t- ke- � lX/r 4NL L, I�✓� <br />�-�' Q City State Zip <br />Property Site Address:? 1I ALyy LA, 4 <br />Contact's Telephone Number: (0 9 5 ty-i <br />Contact's Email: <br />Legal Description of Property: L of z Csinyci (c 00-7 / (r -P, 1i w <br />Section #: () I Town #: Q N Range #:RI(,aW Town of: pc(- d <br />*Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page. <br />Tax 1D # (1-5 digit number; found on tax statement): -3 9J <br />Proposed Use of Structure/ ddi ion: ��5 7' 4C 11I �! f D j�'�! �1 �l� t y� s f ro'c �L' !t z <br />Anticipated Start Date: 1 (Home/Cabin; jCoom�m, ercr'al Business; Bedroom; Deck; etc.) <br />rG� SetverIn(staller: <br />Building Contractor�-ix* �,Q' <br />AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br />THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br />---� -) 6 -),� <br />Date of staff site visit: Initials of s e visit staff: <br />6L <br />PERMIT APPROVED BY LAND SERVICES OFFICIAL: DATE: /6 / <br />UPON APPROVAL: APPLICANT MUS POST 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 />A <br />Mw <br />-i Fee Rec: L i <br />4 13527 �� 1 <br />