Laserfiche WebLink
LAND USE PERMIT APPLICATION —Burnett County, WI b <br /> a � <br /> Applicant Complete All Sections Below This Line <br /> CD <br /> C7 <br /> Permit Types and Fees:(Please,check appropriate boxes) „ c-- <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 0Q �O <br /> i Accessory Structure(Garage,Shed,etc.)Z41 Addition/Alteration to Accessory Structure $150 <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 <br /> 0 <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 /> _* <br /> *NOTE:After-the-fact permi construction has begun)may cost up to three times the normal fe v� <br /> * ion Towers&Signs require a different application orm,see corresponding app Wca Ion,an ees. ro <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. r, 9 <br /> Property Owner's Name: �G 1 1^ks ITI <br /> Property Owner's Mailing Address: 31 D S �'"0 r LIT-. n f—► <br /> �^ �j M City State Zip <br /> li-� <br /> Property Site Address: t706 ta-� yw �.(JL°�j8�?o^� <br /> Contact's Telephone Number: 765 r 6;V s 7! V g a <br /> Contact's Email: sE� w ci Aty v <br /> Legal Description of Property: V i`b L fit.b � O <br /> Section#: Town#: N Range#: W Town of: L44le-He <br /> r7 <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): /®917 y <br /> Proposed Use of Structure/Addition: hej , <f Pr&ikj-r- <br /> 7 x <br /> Anticipated Start Date: (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) �J d <br /> Building Contractor: Sewer Installer: H <br /> F 0 <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> •LOSE Al off- LA M& �0[es s 5 <br /> oreo} t z r- <br /> a 5hej 16,1 �(OM 5'�cle P60cer+ z Inc, <br /> N V <br /> y Fee Rec: - <br /> �� 14 Check#: <br /> 0 <br /> Date of staff site A 't Initials of site visit staff: Cn <br /> �� r <br /> c �[� <br /> APPROVED BY LAND SERVICES OFFICIAL: : X DATE r <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF (n M a <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT <br /> rz., 00 QV O <br /> Transcendent: - Page 1 of 4 `` c`o <br /> Laserfische: - Burnett County,WI Land Use Application—Rev 1/2019 C <br /> o <br /> a <br /> b <br />