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 <br />$3001 <br />Addition/Alteration to Dwelling/Principal Structure <br />$200 <br />Commercial/Industrial Structure <br />$300 <br />Addition/Alteration to Commercial/Industrial Structure <br />$200 <br />Accessory Structure (Garage, Shed, etc.) <br />$150 <br />Addition/Alteration to Accessory Structure <br />$150 <br />Accessory Structure (Commercial/Industrial) <br />$200 <br />Addition/Alteration to Bunkhouse <br />$150 <br />Deck/Stairs/Patio/Retaining Wall/Sidewalk <br />Driveways/ & Campground Structures <br />$125 <br />Bunkhouse <br />WI State Statute 59.692(iv) Structures <br />$250 <br />$350 <br />Filling/Grading <br />$150 <br />Boathouse <br />$500 <br />1$100 <br />Six Month Camping Unit (One Per Year) <br />I $100 <br />Permit Extension (1 Year Extension - Allowed Once) <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: TR v S T <br />Property Owner's Mailing Address: �P 7 g (6 THOM P50AI R �� I.i Z6!5I EX W1 67�ig 3 <br />/ City State Zip <br />Property Site Address: 50-14L - a -.s A -/ E <br />Contact's Telephone Number: 7 /5-- S66— 2416 ;2, <br />Contact's Email: ff U x/ JCL 5 / i�%1 1 ' ► C O Y1'l <br />Log -a! Do t:o ^f P- a 7 — o a g- a- 4 Q -IV-30 -a 63-000-011161 <br />Section #: 30 Town #: yO N Range #: 141 W Town of: 5 CO � i .r <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): 33 6-3 b <br />Proposed Use of Stricture/Addition: /sth o 1&O V o I &Q- f L 6o l a -p /4 r r61l <br />Anticipated Start Date: /4PR l L vto/ 9 (Home/Cabin; Commercial Business; Bedroom; Deck; e() <br />Building Contractor: IeR 1:5 well) b Sewer Installer: Nl'f1 <br />AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br />THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br />Date of staff site visit: Initials of site isit staff: <br />/X1 <br />PERMIT APPROVED BY LAND SERVICES OFFICIA DAT� <br />UPON APPROVAL: APPLICANT MUST 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 />T <br />CL <br />0 <br />x <br />0 <br />m <br />ro C' <br />b <br />H <br />fA M <br />o � <br />O <br />a � <br />o I—� <br />r � w <br />o <br />w <br />o r-- <br />z <br />0 <br />3 <br />Q� Vl <br />T a <br />d <br />V <br />o w <br />7 X <br />C <br />-j U <br />d <br />z 0� <br />r <br />I <br />Fee ReA/10 <br />Check #: 3027% <br />CD <br />v <br />