Laserfiche WebLink
s1� <br />C <br />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 />Driveways/ & Campground Structures <br />$125 <br />WI State Statute 59.692(ly) Structures <br />$350 <br />Filling/Grading <br />$150 <br />Boathouse <br />$500 <br />Six Month Camping Unit (One PerYear) <br />$100 <br />Permit Extensionjl Year Extension - Allowed Once) <br />$100 <br />--MOTE: After -the -fact permits (permit aquired after construction has begun) may cost up to three times the normal fee. <br />*Communication owers n in g app'cation, and fees. <br />*Items not listed above will be treatedas accessory structures, such as: pergolas, landscaping, etc. <br />Property Owner's Name: %//11'(� <br />Property Owner's Mailing Address: 1 6'PWFt i S AM531E <br />City State Zip <br />Property Site Address: ZZGl7 AKOMAR-4 AQ <br />Contact's Telephone Number: r1IZ 1J �f �j JrdQO <br />Contact's Email: g/dOd`a((p�i pl j am <br />Legal Description of Property: rxo 3# rW 30 A,14 La7 Z Csiy V /tF P l fi / (19,y4Y /eT 3 1st► V l PZ 7 11 <br />Section #:_ Town #: N Range #: W Town of: {,VeoO �CwFJt� <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): Z q 3 0 '?, <br />Proposed Use of Structure/Addition: 901gr PARK/nik <br />Anticipated Start Date: (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) <br />Building Contractor: AmatCAN.Sren. Sewer Installer: <br />AKLA IiLLV-,Y 1ri1S LUNL r0K LAND SEEK it LS STAFF CQ-Nf.,*iE iS/C0:NmC1U_r5 UVLY <br />THIS PERMIT IS SUBJECT TO L CONDITIONS LISTED BELOW: <br />Oa e, 6,v tt e., AIL4 lCt &e—d' <br />Date of staff site visit: � � � / / Initials of site visit staff: <br />APPROVED BY LAND SERVICES OFFICIAL: DATE: ✓ 3� �! <br />UPON APPROVAL: APPL CANT 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 />r <br />cr <br />U <br />c' <br />a <br />i� <br />F <br />F5 <br />G� <br />o � <br />o , <br />r <br />o <br />z <br />0 <br />0 <br />0 <br />^o <br />m n <br />Cr <br />o � <br />ii <br />d <br />o <br />d <br />o y <br />� x <br />� O <br />y <br />y <br />z � � <br />Fee Rec: 221511"11 11-19 <br />Check #: <br />G-..� D <br />m <br />3 <br />n <br />V V <br />N <br />9H <br />00 <br />CD' <br />N <br />Q <br />a <br />