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 />$300 <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 />. <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 />Bunkhouse <br />$250 <br />WI State Statute 59.692(1v) Structures <br />$350 <br />Driveways/ & Campground Structures <br />$125 <br />Filling/Grading <br />$150 <br />Boathouse <br />$500 <br />Six Month Camping Unit (One Per Year) <br />$100 <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 />f,, i <br />Property Owner's Name: �Y V �' m 1 <br />..., <br />Property Owner's Mailing Address: 0/1L' Mee ,er <br />ity State Zip <br />Property Site Address: n 're-r �J �(J^ S" gjc� <br />q� T'� DA K L y <br />`�� <br />Contact's Telephone Number: 776 3—_5%% - y -)30 <br />Contact's Email: y (�{ (a(aJ_6-7)� <br />Legal Description of Property: �6 t\ C+�i �Jt qAel �T w L 0 + <br />Section #: 10 Town #: y N Range #: S W Town of. Ak Sd n <br />*Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system propertypage. <br />Tax ID # (1-5 digit number; found on tax statement): 7 4�3 -7 <br />Proposed Use of Structure/Addition: C rirc,, j.1 . <br />Anticipated Start Date: prt ; i SS r) i q (ome/Cabin; Commercial Business; Bedroom; Deck; etc.) <br />Building Contractor: 1�e 1.r Sewer Installer: /V 1 A, <br />AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br />THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br />�- AA 5 / M /D ` 5 I o�e-- s C,/-� .7 S c e- e-wt C% 1 '/ nwi <br />d 1,214 <br />Date of staff site visit: Initials of site visit staff: <br />APPROVED BY LAND SERVICES OFFICIAL: '�—/ DATE: 7 Z 9 <br />UPON APPROVAL: APPLICANT MUST POST COPY OF <br />SIGNED PERMIT APPLICATION IN PLAIN SIGHT <br />Transcendent: - Page I of 4 <br />Laserfische: - Burnett County, WI Land Use Application — Rev 1/2019 <br />~n <br />0 <br />0 <br />t- <br />0 <br />r <br />0 <br />0 <br />CD <br />a <br />C7 <br />w <br />0 <br />H <br />k <br />C7 <br />:�t 0 <br />Fee Rec. h'ye <br />Check #: ,�b I <br />N <br />W <br />cm <br />as <br />