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 b <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 PerYear) <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 />Property Owner's Name: 6we-1% iio `� N(e,&44Yi 3 C:�,0,7-0 <br />Property Owner's Mailing Address: 7dG ,?4Pk 4 W <br />p City State Zip ,�j'� <br />Property Site Address: 0aa� Ppl � Q[� -7 -) S po0tAC4/- W <br />Contact's Telephone Number: la <br />1�'1 <br />Q 'f� ' E' <br />Contact's Email: - _ � C2/11 Q C rt Zo - eq-ne t\r- <br />Legal Description of Property:__ &L s oryel • � / 14'1677 <br />Section #: Town #: 71 N Range #: // W Town of: 906 <br />*Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page. <br />Tax 1D # (1-5 digit number; found on tax statement):_/E7% <br />Proposed Use of Structure/Addition: e 'A - <br />Anticipated Start Date: (lfome/Cabin; Commercial Business; Bedroom; Deck; etc.) <br />Building Contractor: T;CC Sewer Installer: I",kZ• 16-4y G <br />AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br />THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br />3 � d saw l �aNIV sys, ,/ GIs ,�i,;,� <br />btx/re0 Mf d K �e- Wtcr�h ��oo ✓', <br />0f'11 re4?t4I'V0, file, 50 )'fuv'y sy-e -/V 4e /'noourtr'e� <br />7� me-e,�- f�C_ nUw, �^ ©f 6eWYVoAs, <br />Date of staff site visit: ('7 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 />IN <br />0 <br />9* <br />w <br />X <br />C7 <br />vl <br />z Fee Rec: 3 CD <br />Check #: 3 <br />d <br />m <br />