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 />Driveways/ & Campground Structures <br />$125 <br />WI State Statute 59.692(1v) Structures <br />$350 <br />Filling/Grading <br />$150 <br />Boathouse <br />$500 <br />Six Month Camping Unit (One Per Year) <br />$100 <br />1 <br />Permit Extension (1 Year 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 />Property Owner's Name: C A-k, i L's S S <br />Property Owner's Mailing Address: a 1311 I--A'Z DQ Gi"+ -5I�-Qb 1j SI-k fI-) b <br />City State Zip <br />Property Site Address: SA - <br />Contact's Telephone Number: % 157 r 3 a-7 LN 9 9 10 t - "1 - 4 b L, C2 <br />Contact's Email: C-YV, V, e (,tom-c v J l r-S . C C, nit <br />Legal Description of Property: <br />Section #:_ Town #• % N Range #: W Town of: c� <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): a T 1 <br />Proposed Use of Structure/Addition: C N\ STD U VL0Z>,A <br />Anticipated Start Date: 5Ur- Z JcO 1 cj (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) <br />Building Contractor: 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 />Date of staff site visit: S 3� / 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 I of 4 <br />Laserfische: - Burnett County, WI Land Use Application — Rev 1/2019 <br />Fee Rec: 01 W�60 <br />Check #: I - �-? <br />w <br />� <br />a <br />CD c <br />2 <br />13 <br />—G <br />UUVim,. Lai <br />00 <br />-+ <br />v � <br />1V <br />