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 />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(Sv) Structures <br />$350 <br />Driveways/ & Camp round Structures <br />$125 <br />Filling/Gradin <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 /><s, DEC <br />Property Owner's Name, 1#1 <br />Property Owner's Mailing Address: l <(. Lo vilk 104/5-o <br />City State Zip <br />Property Site Address: (' <br />Contact's Telephone Number: -7W�2_ `-" i 44 -77 <br />Contact's Email: 5'�' u ve ' a ; �/5� <br />Legal Deseri tion of Property: Pl� - ®3s --A __ 4% - - 6 -J �� 00 _00a) <br />Section #: Town #: N Range #: W Town of. L it <br />*Attach additional page if needed for nthy description OR ttach a copy of the deed OR attach tax system property page. <br />Tax ID # (1-5 digit number; found on tax statement): U <br />Proposed Use of Structure/Additio : t ( L <br />Anticipated Start Date: (Home/Cabin; C m ercial Business; Bedroom; Deck; etc.) <br />Building Contractor: loi/) Sewer Installer: A/ 14 <br />T <br />AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br />THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br />Vt►5, C1pipMtlaj aS5u e� /�oSe44Meels WIX�glolly 1�` <br />a. Use. AroA)�4- (c6q {re /q,q� <br />a� e_ s s o �y s h-t �tleS !/J 9/ V?— o / `l a �t� 5�ig7L <br />y <br />t <br />f Wltl/ 6e- <br />Date of staff site visit: J ! / 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 />Transcendent: - Page 1 of 4 <br />Laserfische: - Burnett County, WI Land Use Application — Rev 1/2019 <br />m <br />0 <br />0 <br />N <br />0 <br />5' <br />ao <br />b r <br />ci <br />CD <br />rn r/ <br />a <br />C7 <br />i9 <br />G) <br />o \ <br />r <br />0 <br />C <br />r <br />o <br />0 y <br />C7 �r <br />ao <br />o <br />a <br />l7 <br />..3 <br />N <br />vl <br />z O <br />X v <br />Fee Rec: <br />Check #: <br />