Laserfiche WebLink
LAND USE PEM11T 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 />�[ <br />Deck/Stairs/Patio/Retaining Wall/Sidewalk <br />Bunkhouse <br />$250 <br />WI State Statute 59.692(ly) Structures <br />$350 <br />I\ <br />Driveways/ & Campground Structures <br />$125 <br />Filling/Grading <br />$150 <br />Boathouse <br />$500 <br />Six Month Camping Unit (One Per Year) <br />$100 <br />Permit Extension (1 Year Extension -Allowed Once) <br />$100 <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, landscaping, etc. <br />Property Owner's Name: v G G Vj_L,- N � D 1,0 <br />1.1 � <br />Property Owner's Mailing Address: <br />Cit t tp Zip <br />Property Site Address: 1 ( I�� G <br />Contact's Telephone Number: 6124 . / G <br />Email: G(i ��%�� �•i /%� /� /1�%ff� %fi �/7 '�,' <br />Contact'sIJ <br />PC <br />Legal Description of Property: <br />Section #:. Town #: N Range #:I_W Town of: t� 5 <br />*Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page. <br />q <br />Tax ID # (1-5 digit number; found on tax statement): Z�? <br />\ <br />Proposed Use of Structure/Addition: <br />Anticipated Start Date: (Home/Cabin; Commercial Business; Bedroom; Deck; etc) <br />1 <br />Building Contractor: Sewer Installer: <br />AREA 15L' LUVV i HiS LL-i h r"A LAND SERVIC S S AF 1.0)WAILI TS/UOINM11U1Ns U�N LY <br />THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br />'s -6-"11 Z, d0_45 (e- <br />Date of staff site visit: A V! Initials of site visit staff: // <br />APPROVED BY LAND SERVICES OFFICIAL: DATE: 7 J / <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 />a. <br /><' "C <br />\ O lV <br />d <br />CD v1 <br />.J O <br />o \ <br />r <br />0 <br />Cn <br />w <br />_ <br />m� <br />�o <br />m <br />0 <br />m <br />0 <br />� y <br />ma <br />d <br />o 7Q <br />e <br />o' <br />Cn <br />o � <br />� k <br />= O <br />N <br />'V <br />Fee Rec: ZQ7, <br />Check #: <br />Sao / f 9�Z1 <br />C <br />a�j <br />ra <br />c <br />r— <br />