Laserfiche WebLink
LAND USE PERMIT AP"ICATION - Burnett County, WI <br />Applicant Complete Al 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(ly) 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 aqui red 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 />,--a <br />a 5� <br />Property Owner's Name: �. ° �t - Yet 'KIGC <br />Property Owner's Mailing Address: AreL4'r 1/-a i AVef (-�eode er 615 144 550%7 <br />City State Zip <br />Property Site Address: Caw fGl�om od e r <br />Contact's Telephone Number: — 4-U1-'eff0 3 <br />Contact's Emaif f eo <br />l• �'ai �cSO yt ��� �� Gli(.Ct [ t <br />Legal Description of Property: P L e-,rj f/ LOT' /-0 7- W fS TgZgs� <br />Section #: Town #: N Range #: W Town of 5� <br />*Attach additionalpage if neededfor 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): 135+1 Ut u <br />Proposed Use of Structure/Addition: <br />Anticipated Start Date: gyp/ , 2�6 /�`�'j (Home/Cabin: Commercial Bu s: Bedroom: Deck: etc) <br />Building Contractor: R<le3 Sewer Installer: AIP 4-1 u S <br />AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br />THIS PERMIT IS SUBJECT TO ALL CON1DITIONS LISTED BELOW: <br />Y�av4hS <br />lo' <br />— /P\v S b 7 3 �'a ro o r( 2 <br />�1 -off' w &Y , <br />W b�r c -r v fVt�; <br />Date of staff site visit: 1 Q " 19 U Initials of site visit staff. / <br />PERMIT APPROVED BY LAND SERVICES OFFICIAL•�94� DA E` <br />UPON APPROVAL: APPLICANT 4/ST POST COPY OF <br />SIGNED PERMIT APPLICATION IN PLAIN SIGHT <br />Transcendent: - Page 1 of 4 <br />Laserfische: - Burnett County, WI Land Use Application — Rev 8/2018 <br />06) <br />Fee Rec: <br />Check #: S 9 <br />d <br />m <br />