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 />WI State Statute 59.692(ly) Structures <br />$350 <br />Driveways/ & Campground Structures <br />$125 <br />Filling/Grading <br />$150 <br />1 <br />lBoathouse <br />$500 <br />Six Month Camping Unit (One Per Year) <br />1$1001 <br />jPermit 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:�t� <br />�1 <br />Property Owner's Mailing Address: <br />i City ) State t <br />Property Site Address: I(}�(� ��k SVOC),(\'C `l W S <br />Contact's Telephone Number: -I - Ct I <br />Contact's Email:LY).Y)��C�l�`-� <br />Legal Description of Property: <br />Section #: 19�, Town #:HaL)N Range #: W Town of: r✓ <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 # (I-5 digit number; found on tax statement):_ <br />Proposed Use of Structure/Add�ition: ,��lY <br />/ <br />Anticipated Start Date:_ 1�SS110 C imercial Business; Bedr(wm; Deck; etc.) <br />i_ ^ _(HomelCabin; <br />Building Contractor: �k✓ \ ` F—�i KAS(qAewe Installer: <br />AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br />PERMIT CO <br />SUPJG/ <br />LISTED L�e <br />/5N �d �S <br />e-dCC SOS 5L e�C11S77 <br />TA��S <br />V,�ewI Ny�a «C-SS ���,�,�, o� as /OJ4 as �� <br />-� o l d s al `►'S �✓'a w� � Le- M* 40 v'2.�' by o Z o • <br />Date of staff site visit: 713 / I Initials of site visit staff: 2 // <br />APPROVED BY LAND SERVICES OFFICIAL: ATE: / <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 />N <br />0 <br />2 <br />y <br />CD <br />r <br />O <br />9 <br />C �l <br />< w <br />r <br />0 <br />`3 <br />v <br />0 <br />n <br />< <br />O y <br />a. <br />v <br />X <br />o � <br />� x <br />' G <br />z .-•.Q <br />Fee Rec l 225 <br />Check #: jjj/_,�7 <br />C <br />mW <br />1 <br />0 <br />®o <br />O <br />co c <br />m� <br />� <br />n; <br />C <br />W <br />c:c <br />