Laserfiche WebLink
LAND USE PERMIT APPLICATION - Burnett County, WI r <br /> c <br /> Applicant Complete All Sections Below This Line <br /> \ d <br /> Permit Types and Fees:(Please,check appropriate boxes) w <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 }t` <br /> AccessoryStructure Commercial/Industrial $150 <br /> ( ) $200 Addition/Alteration to Bunkhouse � <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 ° G <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(ly)Structures $350 <br /> Filling/Grading $150 lBoathouse $500 <br /> Six Month Camping Unit(One Per Year) $100 Permit Extension(1Year Extension-Allowed Once) $100 r <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. o <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. r- <br /> z <br /> Property Owner's Name: U fA-,rsQ rJ ° <br /> m <br /> Property Owner's Mailing Add s: /7'/J 14(,,/ y 7 v 00 ti <br /> C}tyI Stag Zip <br /> Property Site Address: <br /> Contact's Telephone Number: Cj S ``q <br /> Contact's Email: r �C)nO <br /> V <br /> Legal Description of Property: 0 aG s o <br /> Section#: ( kn Town#: `10 0 N Range W Town of: l <br /> d <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): <br /> Proposed Use of Structure/Addition: �Un �-oO j f rigr�-N J IaLA hdr it x <br /> Anticipated Start Date: (Home/Cabin;Commercia B Business;Be room;Deck;etc.) Ij <br /> Building Contractor: ��� Sewer Installer: <br /> N <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY P� <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> �' �!��s �e.✓' ���f /S �✓` / !il t. Q CL'GTi17—Id tiS� �G CY�W�lI N� � -� <br /> /-4e Q(fecSso,,-y <br /> Fee Rec: iJbo <br /> Check#:11 — <br /> Date of staff site visit: ? Z Initials of site visit staff: �j, /Sb• 7 <br /> c <br /> APPROVED BY LAND SERVICES OFFICIAL: DATE: ZZ <br /> UPON APPROVAL: APP ?ICANT MUST POST COPY OF <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT o00 <br /> Transcendent: - Page 1 of 4 ca <br /> Laserfische: - Burnett County, WI Land Use Application—Rev 1/2019 <br /> m <br />