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 />$300rAddition/Alteration <br />n/Alteration to Dwelling/Principal Structure <br />$200 <br />Commercial/Industrial Structure <br />$300n/Alteration <br />to Commercial/Industrial Structure <br />$200 <br />Accessory Structure (Garage, Shed, etc.) <br />$150n/Alteration <br />to Accessory Structure <br />$150 <br />Accessory Structure (Commercial/Industrial) <br />$200n/Alteration <br />to Bunkhouse <br />$150 <br />Deck/Stairs/Patio/Retaining Wall/Sidewalk <br />use <br />$250 <br />Driveways/ & Campground Structures <br />$125 <br />Statute 59.692(ly) Structures <br />$350Filling/Grading <br />$150se <br />$500 <br />Six Month Camping Unit (One Per Year) <br />$100xtension <br />(1Year Extension - Allowed Once) <br />$100 <br />*NOTE: After -the -fact permits (permit aquired after construction has begun) may cost up to three times�ees. <br />[*Communication Towets n app ication form, see corresponding application, an <br />*Items not listed above will be treated as accessory structures, such as: pergolas, landscaping, etc. <br />Property Owner's Name: <br />Property Owner's Mailing Address: laqla 19 y& t IYK pj%V lYt nJ 553 <br />City State zip <br />Property Site Address: pq'7$ q Sanot " $(-tyre% -7ra,i ( j,),,j0Sk2r !�>Z <br />Contact's Telephone Number: '7& ,3 - q 4 I - y 313 kcl L u <br />Contact's Email: M n tt)t ly e,5 ea? MSA -Gm <br />Legal Description of Property: L &I `, ,5dnai lau ShweA <br />Section #:.3.S Town #: 39 N Range #: 15 W Town of- <br />*Attach additional page if neede r lengthy description OR It Fch a copy of the deed OR attach tax system property page. <br />Tax ID # (1-5 digit number; found on tax statement): <br />Proposed Use of Structure/Addition: She- 4' f)JEACL <br />Anticipated Start Date: S - ($ • 15 (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) <br />Building Contractor: St4 -}Xu kA- Sewer Installer: <br />AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br />THIS PERMIT IS SUBJECT TO ALL CONDITIONS LIISTED BELOW: <br />ewMAI,� /s ��' l�'lC. 5��� 4-AfQ ./ 774. <br />5�te a' tiof �e_ aSe-c� -�vr Au t,"qh Aa d / 7'Q7�i�vh <br />Date of staff site visit: `r -, / Initials of site visit staff: <br />APPROVED BY LAND SERVICES OFFICIAL: -DATE: l <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 />ro r <br />c `O <br />CD. � <br />C7 <br />w <br />�O <br />F <br />C <br />0 <br />r <br />0 <br />Cn <br />m <br />w <br />r <br />c - <br />z <br />0 <br />� v1 <br />Cn <br />o <br />c <br />a <br />d <br />c ac <br />0 <br />o' <br />o � <br />� d <br />d <br />N <br />z <br />Fee Rec:350 - <br />ca <br />Check <br />d <br />