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 $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 lBoathouse $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: pergolas, landscaping, etc. <br />Property Owner's Name: Robe -,'4 -'tCj(N4 MAI -Ie- tVe-LP MAA <br />Property Owner's Mailing Address: = N Ap0A Mn-Ssbcs <br />City State Zip <br />Property Site Address: FA r -OW -Q Jf)215,, Rd <br />Contact's Telephone Number: k35'1 - 33G-300-7 <br />Contact's Email: <br />Legal Description of Property: j 1 ©� ` a �1 ` ! `t W <br />Section #:- Town #: 3qN' N Range #: J fo\rJ 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 />Tax ID # (1-5 digit number; found on tax statement): # 3 [ <br />Proposed Use of Structure/Addition: SA1,- r Aq e <br />Anticipated Start Date:_ jet,(,)( � oW (19 (Home/Cabin: Commercial Business: Bedroom: Deck; etc.) <br />Building Contractor: Cle(Aru sai l6i nq CaT, Sewer Installer: 140p14i r1S SAtIi GAM <br />AREA BELOW THIS LINE RESERVED FOR ZONING STAFF COMMENTS/CONDITIONS ONLY <br />THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br />N�j 01, 4C—� "Jovjlz-�- �1 In s+r4Vre <br />,s <br />Date of staff site visit: Initials of site visit staff: <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 />M. <br />V <br />0 <br />5' <br />0 <br />-o <br />�I <br />Ln <br />Q <br />