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 />Addition/Alteration to Dwelling/Principal Structure <br />$200 <br />Commercial/Industrial Structure <br />Addition/Alteration to Commercial/Industrial Structure <br />$200 <br />Accessory Structure (Garage, Shed, etc.) <br />Addition/Alteration to Accessory Structure <br />$150 <br />Accessory Structure (Commercial/Industrial) <br />d$200 <br />Addition/Alteration to Bunkhouse <br />$150 <br />Deck/Stairs/Patio/Retaining Wall/Sidewalk <br />Bunkhouse <br />$250 <br />Driveways/ & Campground Structures <br />WI State Statute 59.692(1v) Structures <br />$350 <br />Filling/Grading <br />Boathouse <br />$500 <br />Six Month Camping Unit (One Per Year) <br />Permit Extension (1 Year Extension - Allowed Once) <br />$100 <br />*NOTE: After -the -fact permits (permit aquired after construction has begun) may cost up to three times the normal fee. <br />*Communication Towers & Signs require a different application form; see corresponding application, and fees. <br />*Items not listed above will be treated as accessory structures, such as: pergolas, landscaping, etc. <br />Property Owner's Name: (A� 1 rLf 0 I <br />1� <br />Property Owner's Mailing Address: 51�83*7 <br />City State Zip <br />Property Site Address: 5 A K,.A— <br />Contact's Telephone Number: Z l'5 <br />Contact's Email: (LW\- <br />Legal Description of Property: <br />Section #:�_ Town #:__31_N Range #: S W Town of: <br />*Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page. <br />Tax ID # (1-5 digit number; found on tax statement): ,)- ,2-5 `{ I <br />Proposed Use of Structure/Addition: M a j k <br />Anticipated Start Date: r• (Home/Cabin, Commercial Business; Bedroom; Deck; etc) <br />Building Contractor: L&,rftj Merrj j A41 Sewer Installer: <br />AREA BELOW THIS LINE FOR LAN SERVICES STAFF COMMENTS/CONDITIONS ONLY <br />THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br />Date of staff site visit: � � � Ini 'als of s' 'staff: <br />APPROVED BY LAND SERVICES OFFICIAL: DATE: <br />i <br />UPON APPROVAL: AP ICANT MUST POST COPY OF <br />SIGNED PERMIT APPLICATION IN PLAIN SIGHT <br />Transcendent: - Page 1 of 4 <br />Laserfische: - Burnett County, WI Land Use Application — Rev 1/2019 <br />T <br />ro <br />C" <br />b <br />N ^U <br />c <br />o O <br />V, <br />14' <br />z � <br />x <br />Fee Rec:� j U 0-0 <br />y Check #: 1 (>t l <br />" .D <br />m <br />9H <br />a <br />3 <br />N W <br />p' �l V <br />CDm <br />$ ' <br />C= <br />3 <br />