Laserfiche WebLink
LAND USE PERMIT APPLICATION - Burnett County, WI r <br /> a � � <br /> Applicant Complete All Sections Below This Line <br /> a n" <br /> W <br /> Permit Types and Fees:(Please,check appropriate boxes) d <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 " J <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 �0Q <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 <br /> G� <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 ° <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(ly)Structures $350 r <br /> Filling/Grading $150 Boathouse $500 <br /> Six Month Camping Unit(One Per Year) $100 Permit Extension(1 Year Extension-Allowed Once) $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. C. <br /> o <br /> MAProperty Owner's Name: r n r Kd4jh G n C k a,rc�, <br /> -n <br /> Property Owner's Mailing Address: 7 (owl r 0 <br /> ty State Zip <br /> Property Site Address:77�,hnhu (-Cj , <br /> pp O 2. <br /> 2. <br /> Contact's Telephone Number: 4 I —I I go D�� a <br /> Contact's Email: Dho '" hoo 'com <br /> Legal Description of Property: e,l-k a ro� C,110 Let o 00 <br /> Section#: Town#: '`f 0 N Range#: W Town of: Ok41 G.4— o <br /> 0 <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: `i'tZ <br /> Anticipated Start Date: (Home/Cabin;Commercial Business;Bedroom;Deck:etc.) ° C7 <br /> Building Contractor: Sewer Installer: <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF CONENIENTS/CONDITIONS ONLY <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: y <br /> z <br /> t-or Wort, 1'ho-&t 30 o(ac�, <br /> QV � <br /> Fee Rec:�j,2 f G <br /> U Check#: <br /> Q <br /> Date of staff site visit: Initials of site visit staff: - <br /> z <br /> APPROVED BY LAND SERVICES OFFICIAL; TE: A <br /> < r <br /> sv <br /> UPON APPROVAL: APPL CANT, 4ST POST QPY OF (n C3 e <br /> CD <br /> T < <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT z N_a C [� <br /> Transcendent: - x <br /> Page 1 of 4 <br /> Laserfische: - Burnett County, WI Land Use Application—Rev 1/2019 CD co <br /> f <br /> n <br />