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 />1 Addition/Alteration to Commercial/Industrial Structure <br />$200 <br />Accessory Structure (Garage, Shed, etc.) <br />$150 <br />lAddition/Alteration to Accessory Structure <br />$150 <br />Accessory Structure (Commercial/Industrial) <br />$200 <br />Addition/Alteration to Bunkhouse <br />Deck/Stairs/Patio/Retaining Wall/Sidewalk <br />Bunkhouse <br />Driveways/ & Camp round Structures <br />$125 <br />WI State Statute 59.692(Sv) Structures <br />d$500 <br />Filling/Grading$150 <br />Boathouse <br />Six Month Camping Unit (One PerYear) <br />$100 <br />Permit Extension (1 Year Extension - Allowed Once) <br />*NOTE: After -the -fact permits (permit aqui red 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, landscapinq, etc. <br />Property Owner's Name: <br />Property Owner's Mailing Address: <br />Property Site Address: <br />/C/0 <br />Contact's Telephone Number: 5(31 _ '/ ,-7 (] — l &,Q Sf <br />Contact's Email: <br />Sae <br />Zip <br />G� Zf� csM <br />Legal Description of Property: - ' ' t ' ` " ' I v y 2�J ii <br />Section #: Zela Town #:—*_N Range #:-95—�W Town of: `j'S 5 S <br />*A ttach 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): ) , 9 q <br />Proposed Use of Structure/Addition: <br />Anticipated Start Date: <br />Building Contractor: <br />(Home/Cabin; Commercial Business; Bedroom; Deck; etc.) <br />Sewer Installer: <br />AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br />THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br />� `s perl�►, f" e,x�t'"ems �`I J 1 30�7���. <br />I <br />Date of staff site visit: <br />Initials of site visit staff: / <br />APPROVED BY LAND SERVICES OFFICIAL: DATE: <br />UPON APPROVAL: APPL CANT MUST POST COPY OF <br />SIGNED PERMIT APPLICATION IN PLAIN SIGHT <br />Transcendent: - <br />Pagel of 4 <br />Laserfische: - Burnett County, WI Land Use Application — Rev 1/2019 <br />N <br />5' <br />0 <br />o' <br />10 <br />� b <br />� G <br />CD <br />d <br />0 <br />0 <br />0 <br />0 <br />C <br />W <br />Cn <br />z <br />0 <br />C <br />o N <br />a <br />C7 <br />ro <br />o m <br />a k <br />C7 <br />y <br />N <br />1 <br />Fee Rec: // 00�0- <br />Check #:� <br />m <br />a <br />�3 <br />N <br />tv <br />