Laserfiche WebLink
FM <br />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 jWl State Statute 59.692(ly) Structures $350 <br />Filling/Grading $150 Boathouse $500 <br />Six Month Camping Unit (One Per Year) $100 1 11'ermit 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: C„ 011 C-6 (\� 6 e- f ri 6 '(- j <br />Property Owner's Mailing Address: 1 7 Gi� I)L9A-ve A) 6-feMA) W - 7e, <br />)City State Zi <br />(� <br />Property Site Address: d ^ � Co Patio t- e% FC) DO U i,l r W ) 0 <br />Contact's Telephone Number: 7(.,r l <br />Contact's Email:O �P>✓t� (�h�� r c�^ (/ �)(%7r1� 1 , L�� M <br />Legal Description of Property: L <br />Section #: Town #: 11D N Range #: W Town of 11 /l bNA <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 \ <br />Proposed Use of Structure/Addition: a l CLC'e— N'0 CK 6y)U <br />Anticipated Start Date: —� (Hone/Cabin: Conn rci 1 Business: Bedroom: Deck; etc.) <br />Building Contractor: Sewer Installer: <br />AREA BELOW THIS LINE RESERVED FOR ZONING STAFF COMMENTS/CONDITIONS ONLY <br />THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br />�-� ��n� �-� �C11- ��Y, ���.�C 010, <br />Va� �DAI� ,,� <br />8WPPROVE4 <br />Date of staff site visit: Initials of site visit staff: u <br />DATE <br />D% j � <br />PERMIT APPROVED BY ZONING OFFICI : <br />UPON APPROVAL: APPLICAN 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 />b <br />a <br />N <br />� <br />w <br />W <br />O� <br />� <br />d <br />o) <br />S <br />r <br />o <br />O <br />i <br />o <br />m <br />00 <br />°1CL <br />c <br />o N <br />c <br />a <br />_ <br />O d <br />ro <br />5' <br />ro <br />d <br />W <br />I <br />� � <br />� <br />d <br />o) <br />S <br />G <br />O D <br />y Fee Rec:(� <br />C. ai <br />