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$3OO <br />Addition/Alteration to Bunkhouse <br />$150 <br />Deck/Stairs/Patio/Retaining Wall/SidewalkBunkhouse <br />$250 <br />Wl State Statute 59.692(ly) Structures <br />$350 <br />Driveways/ & Campground Structures <br />Filiing/Grading <br />Boathouse <br />$500 <br />Six Month Camping Unit (One Per Year) <br />Permit Extension (1Year Extension - Allowed Once) <br />$100 <br />*NOTE: After -the -fact permits (permit aquired after construction has begun) may cost up to three times the normal fee. <br />*Communication Towers & Signs require a different application form, see corresponding application, and fees. <br />*Items not listed above will be treated as accessory structures, such as: pergolas, landscaping, etc. <br />`a <br />A/ <br />Properly Owner's Name: CA C,^f <br />Property Owner's Mailing Address: V 7,k e- "O A] A) (' 40S� J <br />e. ECi,;State Zip <br />Property Site Address: sjl j �'�' <br />Contact's Telephone Number: - AS <br />Contact's Email: � i )/�'4'� IVY' <br />aonn <br />Legal Description of Property: (1 % I�elllxj a azo <br />Section #: , Town #: N Rang #:W Town of: 0,s4l awol % <br />*Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page. <br />Tax ID # (1-5 digit number; found on tax statement): - <br />Proposed Use of Structure/Addition: i'acst' 4�9VJjjo M CA;' <br />Anticipated Start Date: 4, [�j A/ ? X 0 / 9 ()ome/ abin; Commercial Busines Deck; etc.) <br />�idm; <br />Building Contractor: /Tr//� Sewer Installer <br />AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br />HIS E�� I SUBJECT TO L COND TIO S LISTED BELOW: <br />O M S CM / <br />�� � D U7 C$ T �DO t� {'✓� U $ 7 e %l � � l� G � O V'�. / � 3 <br />S��tu re-5 <br />a((D <br />Date of staff site visit: �L2-3l 17 Initials of s' isit staff: <br />APPROVED BY LAND SERVICES OFFICIAL: �zz 3 <br />ATE: / <br />UPON APPROVAL: APPLI ANT 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 />n <br />r <br />0 <br />00 <br />v <br />w <br />al <br />Fee Rec:� <br />Check #: js4 <br />d <br />m <br />