Laserfiche WebLink
LAND USE PERMIT APPLICATION — Burnett County, WI <br />Applicant Complete All Sections Below This Line <br />nit 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 />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 />1 <br />Bunkhouse <br />$250 <br />WI State Statute 59.692(ly) 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 (1 Year Extension - Allowed Once) <br />Isloo <br />*NOTE: After -the -fact permits (permit aquired after construction has begun) may cost up to three timesthe 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: i 3 �, i_ S `� M i� t �1 �1 <br />7YO 17 <br />Property Owner's Mailing Address: C� OJ !,U "r L41 P L %caik <br />City State Zip <br />Property Site Address: <br />Contact's Telephone Number: �% 9 9�) '-4sS <br />Contact's Email: N 0%)- ii 4u , Q l <br />Legal Description of Property: S i /j y� %j 1A/ N W <br />2 <br />Section #:�_ Town #: 3 N Range #:_L3 W Town of n <br />ONvch 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): '7 41 <br />Proposed Use of Structure/Addition: 0 F, P, 66 <br />Anticipated Start Date: (HomelCabin, Commercial Business, Bedroom; Deck, etc.) <br />T, w—VA-4- - NI <br />§pwer Installer: <br />Building Contractor: /—*( i / <br />' <br />AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br />THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BE/LOW: <br />7 V b 2 14 S e d ��" � u wl q Al A a %V4 <br />Date of staff site visit: Initials of site visit staff: <br />APPROVED BY LAND SERVICES OFFICIAL: DATE: <br />UPON APPROVAL: APPLICANT MUST POST COPY OF <br />SIGNED PERMIT APPLICATION IN PLAIN SIGHT <br />ranscendent: - Page 1 of 4 <br />Laserfische: - Burnett County, WI Land Use Application — Rev 1/2019 <br />w <br />0c <br />�%C <br />o <br />c <br />3 <br />cn <br />� <br />